Curtis, Callan
Curtis, Callan is an sole proprietor health care provider with primary practice located at 3811 Spring Street , Racine WI 53405. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Curtis, Callan can be contacted via phone (262) 687-5838.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 1487-39 | Wisconsin |
Profile Details
| NPI number | 1336566520 |
|---|---|
| LBN Legal business name | Curtis, Callan |
| Credentials | Licensed Athletic Trainer (LAT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 25th, 2014 |
| Last updated | Mar 25th, 2014 - about 12 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 | 1336566520 | NPPES |
| Wisconsin | Other | 1487-39 | STATE OF WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES |
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