Mccallum, David Harley

Mccallum, David Harley is an sole proprietor health care provider with primary practice located at 14700 King Rd Ste A , Riverview MI 48193-7909. He recently has 2 registered licenses in different health care specialties including Hospital Units / Medicare Defined Swing Bed Unit, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Mccallum, David Harley can be contacted via phone (734) 479-1944.

Contact Information

Primary practice address
14700 King Rd Ste A Riverview MI 48193-7909
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Hospital Units / Medicare Defined Swing Bed Unit 275N00000X 4704236050 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704236050 Michigan

Profile Details

NPI number 1205236973
LBN Legal business name Mccallum, David Harley
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2014
Last updated Jan 8th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205236973 NPPES
Michigan Other 4704236050 MI LICENSE

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