Organization
JOHN CALLAN ORTHOTIC SERVICES, INC.
Active
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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