Organization
JOHN CALLAN ORTHOTIC SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MICHAEL CALLAN C.O. (PRESIDENT)
(719) 799-6529
Entity
Organization
Contact information
Practice address
1729 N WEBER ST, COLORADO SPRINGS, CO 80907-7503
(719) 799-6529
Mailing address
PO BOX 1358, COLORADO SPRINGS, CO 80901-1358
(719) 799-6529
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
04258361-0000
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77100069
—
CO
01
—
NPI # 1346428992
TRICARE
CO
01
—
NPI 1346428992
HUMANA
CO
Enumeration date
02/06/2008
Last updated
04/01/2013
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