Mccallum, Gary Brian

Mccallum, Gary Brian is an individual health care provider with primary practice located at 1 Medical Park Dr Saline Memorial Hospital, Benton AR 72205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Mccallum, Gary Brian can be contacted via phone (501) 626-9478.

Contact Information

Primary practice address
1 Medical Park Dr Saline Memorial Hospital Benton AR 72205
Phone: (501) 626-9478
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X E-3712 Arkansas

Profile Details

NPI number 1205862315
LBN Legal business name Mccallum, Gary Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Dec 26th, 2013 - about 12 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 1205862315 NPPES
Arkansas MEDICAID 150657001
Arkansas Other 5M648

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