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Contact Information

TYLER CALLAHAN
3499 E FAIRVIEW AVE
MERIDIAN, ID83642-5848
 Phone: 208-605-3755
 Fax: 208-605-3754
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy Technician

183700000X
Indicates primary specialty

NPI Profile & details for TYLER CALLAHAN · (Male)

NPI Number 1154989440
Status Active
Credentials
Entity Individual
Enumeration date 05/31/2019
Last updated 05/31/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • ID License # CT44252
  • ID Medicaid 1275010357
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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