Individual
ERIC P CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
5750 COVENTRY LN, SUITE 101, FORT WAYNE, IN 46804-7166
(260) 436-9337
(260) 436-9626
Mailing address
5750 COVENTRY LN, SUITE 101, FORT WAYNE, IN 46804-7166
(260) 436-9337
(260) 436-9626
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000532A
IN
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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