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Contact Information

MICHAEL T CALLAGHAN, MD
500 S 11TH AVE
SUITE 101
POCATELLO, ID83201-4835
 Phone: 208-239-1750
 Fax: 208-239-1771
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for MICHAEL T CALLAGHAN · (Male)

NPI Number 1316978539
Status Active
Credentials MD
Entity Individual
Enumeration date 07/05/2006
Last updated 02/17/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • ID License # M-7264
  • ID Medicaid 805081800
  • ID Other J4779 BLUE CROSS OF IDAHO
Hospital affiliation(s)
  • PORTNEUF MEDICAL CENTER - (Acute Care)
    777 HOSPITAL WAY
    POCATELLO, ID 83201
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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