Individual
MR. JOHN MICHAEL CALLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C. O.
Contact information
Practice address
1729 N WEBER ST, COLORADO SPRINGS, CO 80907-7503
(719) 799-6529
(719) 799-6530
Mailing address
PO BOX 1358, COLORADO SPRINGS, CO 80901-1358
(719) 799-6529
(719) 799-6530
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
07329800
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346428992
TRICARE
CO
01
—
5491920001
MEDICARE SUPPLIER
CO
05
—
77100069
—
CO
Enumeration date
07/26/2006
Last updated
11/20/2014
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