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Contact Information

STACEY L CALLAGHAN, LM,CPM,ICCE,CD,CLE
2731 FRENCH RD NW
OLYMPIA, WA98502
 Phone: 360-789-9969
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Midwife

176B00000X
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for STACEY L CALLAGHAN · (Female)

NPI Number 1891998829
Status Active
Credentials LM,CPM,ICCE,CD,CLE
Entity Individual
Enumeration date 06/07/2007
Last updated 10/13/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # MIDW.MW.60473932
  • WA Medicaid 7408206
Hospital affiliation(s) Not Available
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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