Callahan, Patricia M

Callahan, Patricia M is an individual health care provider with primary practice located at 2701 E Enterprise Ave , Appleton WI 54913-7729. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Callahan, Patricia M can be contacted via phone (920) 831-5050.

Contact Information

Primary practice address
2701 E Enterprise Ave Appleton WI 54913-7729
Phone: (920) 831-5050
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301081153 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 52382 Wisconsin

Profile Details

NPI number 1023010543
LBN Legal business name Callahan, Patricia M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Mar 30th, 2012 - about 14 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 1023010543 NPPES
Michigan MEDICAID 4657480
Michigan MEDICAID 4514404

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