Mccallister, Julie N

Mccallister, Julie N is an individual health care provider with primary practice located at 4607 Maccorkle Ave Sw Ste 400, South Charleston WV 25309-1364. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Mccallister, Julie N can be contacted via phone (304) 766-4400.

Contact Information

Primary practice address
4607 Maccorkle Ave Sw Ste 400 South Charleston WV 25309-1364
Phone: (304) 766-4400
Fax: (304) 766-4417
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 23689 West Virginia

Profile Details

NPI number 1386858447
LBN Legal business name Mccallister, Julie N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2007
Last updated Mar 6th, 2024 - about 2 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 1386858447 NPPES
West Virginia MEDICAID 3810015753

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