Calianos, Theodore Arthur
Calianos, Theodore Arthur is an individual health care provider with primary practice located at 5 Industrial Dr Suite 109, Mashpee MA 02649-3464. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Calianos, Theodore Arthur can be contacted via phone (508) 539-6220.Contact Information
Primary practice address
5 Industrial Dr Suite 109
Mashpee MA 02649-3464
Phone: (508) 539-6220
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 157231 | Massachusetts |
Profile Details
| NPI number | 1528021813 |
|---|---|
| LBN Legal business name | Calianos, Theodore Arthur |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2006 |
| Last updated | Jan 20th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528021813 | NPPES |
| Massachusetts | Other | J19118 | BC/BS |
| Massachusetts | Other | 13-00067 | BC/BS |
| Massachusetts | Other | 21303 | BC/BS |
| Massachusetts | Other | 157231 | BC/BS |
| Massachusetts | Other | B20800901 | BC/BS |
| Massachusetts | Other | 15231 | BC/BS |
| Massachusetts | Other | J1906 | BC/BS |
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