Individual
JACQUELINE LUTER CALLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1418 TIGER DR, THIBODAUX, LA 70301-4337
(985) 449-4055
Mailing address
130 SAXONY DR, HOUMA, LA 70364-2871
(228) 223-7968
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
9903
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
780830
LOUISIANA STATE BOARD OF PRACTICAL NURSING
LA
01
—
9903
LOUISIANA STATE BOARD OF SOCIAL WORK
LA
Enumeration date
03/06/2018
Last updated
06/16/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us