Doctor Name: | DR. JUSTINE O'CALLAHAN |
NPI Number: | 1407221922 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DC |
License Number: | 012761 |
Business Practice Address: | 2132 Five Mile Line Rd Penfield, NY - 145262209 |
Business Phone Number: | 5853830420 |
Business Fax Number: | |
Mailing Address: | 232 Torrey Pine Dr, ROCHESTER |
State: | NY |
Postal Code: | 146125912 |
Phone Number: | 5167287238 |
Fax Number: | |
NPI Enumeration Date: | 12/09/2015 |
NPI Last Update Date: | 01/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 012761 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |