Josh Callow
Individual provider Active NPI Contractor · Forest City, IA
NPI 1861679474 · NPPES record last updated Jan 25, 2008
Key facts
- NPI
- 1861679474
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- 842ZZ1775 (IA)
- Practice address
- 21791 Highway 9
Forest City, IA 50436-7318 - Phone
- (641) 581-3595
- Fax
- (641) 581-3595
- NPI assigned
- Jan 25, 2008
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 842ZZ1775 | IA | MD | Contractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 842ZZ1775 | IA | Yes |
| Home Modifications Contractor | 171WH0202X | 842ZZ1775 | IA |
Addresses
Primary practice location
21791 Highway 9
Forest City, IA 50436-7318
Mailing address
21791 Highway 9
Forest City, IA 50436-7318
Phone (641) 581-3595
Other providers in Forest City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.