Callicott, Rod W
Callicott, Rod W is an individual health care provider with primary practice located at 650 Joel Dr , Fort Campbell KY 42223-5318. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Callicott, Rod W can be contacted via phone (270) 798-8117.Contact Information
Primary practice address
650 Joel Dr
Fort Campbell KY 42223-5318
Phone: (270) 798-8117
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cytopathology | 207ZC0500X | 48422-20 | Wisconsin |
| Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine | 207ZP0105X | 48422 | Wisconsin |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 48422-20 | Wisconsin |
Profile Details
| NPI number | 1720043771 |
|---|---|
| LBN Legal business name | Callicott, Rod W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2006 |
| Last updated | Nov 14th, 2018 - about 8 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 | 1720043771 | NPPES |
| Wisconsin | MEDICAID | 3489700 |
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