Callery, Charles Dawson

Callery, Charles Dawson is an individual health care provider with primary practice located at 15725 Pomerado Rd Suite 206, Poway CA 92064-2068. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Callery, Charles Dawson can be contacted via phone (858) 675-0883.

Contact Information

Primary practice address
15725 Pomerado Rd Suite 206 Poway CA 92064-2068
Phone: (858) 675-0883
Fax: (858) 675-0549
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G33450 California

Profile Details

NPI number 1205819596
LBN Legal business name Callery, Charles Dawson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Jun 4th, 2014 - about 9 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 1205819596 NPPES
California MEDICAID 00G335401
California Other G33540

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