Mike, Callandra K

Mike, Callandra K is an individual health care provider with primary practice located at 167 North Main St , Tuba City AZ 86045-0600. She recently has only one registered license in Nursing Service Providers / Critical Care Medicine, which is considered as her primary health care specialty. Mike, Callandra K can be contacted via phone (928) 283-2501.

Contact Information

Primary practice address
167 North Main St Tuba City AZ 86045-0600
Phone: (928) 283-2501
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X RN120627 Arizona

Profile Details

NPI number 1356642003
LBN Legal business name Mike, Callandra K
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2010
Last updated Nov 11th, 2010 - about 15 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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