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Individual
WILLIAM PATRICK CALLAHAN
Active
Individual
WILLIAM PATRICK CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
000309
CT
363A00000X
Physician Assistant
Primary
PA9108409
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015294300
—
FL
01
—
1249040
WELLCARE
FL
01
—
5339736
CIGNA
FL
01
—
9605646
AETNA
FL
01
—
P01522201
RAILROAD MEDICARE
FL
01
—
P1031192
FREEDOM
FL
01
—
P967778
OPTIMUM
FL
01
—
Y0S4V
BCBS
FL
Enumeration date
06/08/2006
Last updated
10/06/2016
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