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Contact Information

EDWARD CALLAGHAN, MD
625 E BROADWAY AVE
JACKSON, WY83001-8642
 Phone: 307-733-6418
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for EDWARD CALLAGHAN · (Male)

NPI # 1013969211
Status Active
Credentials MD
Entity Individual
Enumeration date 05/16/2006
Last updated 01/05/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MT License # 8556
  • WY License # 11692A
  • MT Medicaid 0000013515
Hospital affiliation(s)
  • RIVERTON MEMORIAL HOSPITAL - (Acute Care)
    2100 W SUNSET DR
    RIVERTON, WY 82501
  • ST JOHNS MEDICAL CENTER - (Acute Care)
    625 EAST BROADWAY
    JACKSON, WY 83001
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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