Callaghan, Michael T.

Callaghan, Michael T. is an individual health care provider with primary practice located at 500 S 11Th Ave Suite 101, Pocatello ID 83201-4835. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Callaghan, Michael T. can be contacted via phone (208) 239-1750.

Contact Information

Primary practice address
500 S 11Th Ave Suite 101 Pocatello ID 83201-4835
Phone: (208) 239-1750
Fax: (208) 239-1771
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X M-7264 Idaho

Profile Details

NPI number 1316978539
LBN Legal business name Callaghan, Michael T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Feb 17th, 2010 - about 16 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 1316978539 NPPES
Idaho MEDICAID 805081800
Idaho Other J4779

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