Calonje, Diego H

Calonje, Diego H is an individual health care provider with primary practice located at 1951 N Wilmot Rd Suite 15, Tucson AZ 85712-8000. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Calonje, Diego H can be contacted via phone (520) 886-4080.

Contact Information

Primary practice address
1951 N Wilmot Rd Suite 15 Tucson AZ 85712-8000
Phone: (520) 886-4080
Fax: (520) 594-9122
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 29313 Arizona
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 29313 Arizona

Profile Details

NPI number 1790804961
LBN Legal business name Calonje, Diego H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Oct 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790804961 NPPES
Arizona MEDICAID 567844

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