Callanen, Mark Leipham
Callanen, Mark Leipham is an individual health care provider with primary practice located at 4027 Hillsboro Pike Suite 801, Nashville TN 37215-2782. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Callanen, Mark Leipham can be contacted via phone (615) 385-2201.Contact Information
Primary practice address
4027 Hillsboro Pike Suite 801
Nashville TN 37215-2782
Phone: (615) 385-2201
Fax: (615) 383-8590
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT24601 | California |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 9745 | Tennessee |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 006776 | Kentucky |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 05012019A | Indiana |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 7945 | South Carolina |
Profile Details
| NPI number | 1730164815 |
|---|---|
| LBN Legal business name | Callanen, Mark Leipham |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 12th, 2005 |
| Last updated | Mar 7th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730164815 | NPPES |
| Tennessee | MEDICAID | Q000687 |
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