NPI 1891785671 · live from the CMS NPI Registry
Richard Q Callahan, MSPA, PA-C
Physician Assistant, Medical in Burlington, VT. National Provider Identifier 1891785671, active.
NPI record
| NPI | 1891785671 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 111 Colchester Ave, Dermatology - Acc/Wp-5, Burlington, VT 05401 |
| Practice phone | 802-847-4570 |
| Enumerated | October 24, 2005 |
| Last updated | November 12, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Surgical | 363AS0400X | 055-0030786 (VT) |
| Physician Assistant, Medical primary | 363AM0700X | 055-0030786 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.