Patrick S Callahan, LATC

Individual provider Active NPI Athletic Trainer · Valley City, ND

NPI 1235549767 · NPPES record last updated May 6, 2014

Key facts

NPI
1235549767
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
128-93 (ND)
Practice address
570 Chautauqua Blvd
Valley City, ND 58072-3145
Phone
(701) 845-6575
Fax
(701) 845-6577
NPI assigned
May 6, 2014
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
128-93NDMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 128-93 ND Yes

Addresses

Primary practice location

570 Chautauqua Blvd
Valley City, ND 58072-3145

Mailing address

3281 115TH Ave SE
Valley City, ND 58072-9492
Phone (701) 845-6575

Other names

  • Mr. Patrick Callahan Other name

Other providers in Valley City, ND

All providers in Valley City, ND · Athletic Trainer in North Dakota

Sources for this page

Verify at the official NPI Registry.