Callahan, Danny Roscoe

Callahan, Danny Roscoe is an individual health care provider with primary practice located at 3248 Vandever Ave , Pekin IL 61554-6274. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Callahan, Danny Roscoe can be contacted via phone (309) 347-5522.

Contact Information

Primary practice address
3248 Vandever Ave Pekin IL 61554-6274
Phone: (309) 347-5522
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 33607

Profile Details

NPI number 1144821208
LBN Legal business name Callahan, Danny Roscoe
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2020
Last updated Nov 5th, 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 1144821208 NPPES
Other 33607 CADC

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