Individual
TYLER J CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1000 N 16TH ST, NEW CASTLE, IN 47362-4319
(765) 599-3177
(765) 599-3176
Mailing address
PO BOX 485, NEW CASTLE, IN 47362-0485
(765) 521-1516
(765) 599-3131
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02004098A
IN
207Q00000X
Family Medicine Physician
Primary
036137237
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02004098A
INDIANA LICENSE
IN
05
—
201068140
—
IN
01
—
201601361
LICENSE
NC
Enumeration date
06/30/2011
Last updated
02/12/2023
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