Calcagno, John Anthony

Calcagno, John Anthony is an individual health care provider with primary practice located at 24850 Se Stark St Ste 150, Gresham OR 97030-8318. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Calcagno, John Anthony can be contacted via phone (503) 491-0714.

Contact Information

Primary practice address
24850 Se Stark St Ste 150 Gresham OR 97030-8318
Phone: (503) 491-0714
Fax: (503) 674-2834
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD14823 Oregon

Profile Details

NPI number 1245220771
LBN Legal business name Calcagno, John Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Oct 14th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245220771 NPPES
Oregon MEDICAID 153684

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