Callan, Leah B

Callan, Leah B is an individual health care provider with primary practice located at 1 Pearl St Suite 2400, Brockton MA 02301-2864. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Callan, Leah B can be contacted via phone (508) 897-6130.

Contact Information

Primary practice address
1 Pearl St Suite 2400 Brockton MA 02301-2864
Phone: (508) 897-6130
Fax: (508) 897-6135
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 184446 Massachusetts

Profile Details

NPI number 1861473977
LBN Legal business name Callan, Leah B
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated May 11th, 2008 - about 18 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 1861473977 NPPES
Massachusetts MEDICAID 0325571

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