Provider Demographics
NPI:1780802694
Name:CALLARMAN, JAY K (DPM)
Entity type:Individual
Prefix:DR
First Name:JAY
Middle Name:K
Last Name:CALLARMAN
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:1336 S PIONEER WAY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MOSES LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:98837-4622
Mailing Address - Country:US
Mailing Address - Phone:509-765-4431
Mailing Address - Fax:509-765-4103
Practice Address - Street 1:1336 S PIONEER WAY
Practice Address - Street 2:SUITE 101
Practice Address - City:MOSES LAKE
Practice Address - State:WA
Practice Address - Zip Code:98837-4622
Practice Address - Country:US
Practice Address - Phone:509-765-4431
Practice Address - Fax:509-765-4103
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAPO00000836213E00000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1780802694OtherNPI
WAG8928737Medicare UPIN