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Contact Information

ELLA M CALLISON, PA-C
1611 S BALTIMORE ST STE A
KIRKSVILLE, MO63501
 Phone: 660-665-7575
 Fax: 660-665-7576
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ELLA M CALLISON · (Female)

NPI Number 1497069694
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 07/29/2010
Last updated 10/18/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 085.003797
  • MO License # 2012008168
  • MO Medicaid 1497069694
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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