Callon, John Chase
Callon, John Chase is an sole proprietor health care provider with primary practice located at 201 Broadway St Ste 110 , Frederick MD 21701-6696. 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. Callon, John Chase can be contacted via phone (240) 801-7799.Contact Information
Primary practice address
201 Broadway St Ste 110
Frederick MD 21701-6696
Phone: (240) 801-7799
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ADT2211 | Maryland |
Profile Details
| NPI number | 1528639598 |
|---|---|
| LBN Legal business name | Callon, John Chase |
| Credentials | ADT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 9th, 2021 |
| Last updated | Jul 9th, 2021 - 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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