Edward Callahan

Individual provider Active NPI Hearing Instrument Specialist · West Hartford, CT

NPI 1417323536 · NPPES record last updated Aug 12, 2015

Key facts

NPI
1417323536
Entity type
Individual (NPI type 1)
Primary specialty
Hearing Instrument Specialist 237700000X
License
302 (CT)
Practice address
1445 New Britain Ave
West Hartford, CT 06110-1659
Phone
(860) 882-5621
Fax
(860) 882-5623
NPI assigned
Aug 12, 2015
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 302 CT Yes

Addresses

Primary practice location

1445 New Britain Ave
West Hartford, CT 06110-1659

Mailing address

1445 New Britain Ave
West Hartford, CT 06110-1659
Phone (860) 882-5621

Other providers in West Hartford, CT

All providers in West Hartford, CT · Hearing Instrument Specialist in Connecticut

Sources for this page

Verify at the official NPI Registry.