Callie Vernon
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · McHenry, MD
NPI 1912458076 · NPPES record last updated Oct 24, 2016
Key facts
- NPI
- 1912458076
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 263 Sandy Shores Rd
McHenry, MD 21541 - Phone
- (240) 723-5383
- NPI assigned
- Oct 24, 2016
- Sex
- Female
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
263 Sandy Shores Rd
McHenry, MD 21541
Mailing address
263 Sandy Shores Rd
McHenry, MD 21541
Phone (240) 723-5383
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2016. 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.