Provider Demographics
NPI:1164298931
Name:CALLAWAY, DOROTHY MAE
Entity Type:Individual
Prefix:
First Name:DOROTHY
Middle Name:MAE
Last Name:CALLAWAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7509 STATION LN
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973-5792
Mailing Address - Country:US
Mailing Address - Phone:302-763-6550
Mailing Address - Fax:
Practice Address - Street 1:7509 STATION LN
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-5792
Practice Address - Country:US
Practice Address - Phone:302-763-6550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-01
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula