Mccallum, Ethan
Mccallum, Ethan is an sole proprietor health care provider with primary practice located at 2855 Campus Dr Ste 400 , Plymouth MN 55441-2659. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Mccallum, Ethan can be contacted via phone (763) 577-7400.Contact Information
Primary practice address
2855 Campus Dr Ste 400
Plymouth MN 55441-2659
Phone: (763) 577-7400
Fax: (763) 236-2650
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X |
Profile Details
| NPI number | 1851703110 |
|---|---|
| LBN Legal business name | Mccallum, Ethan |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 21st, 2014 |
| Last updated | Nov 10th, 2020 - about 6 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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