Calvin, Douglas P

Calvin, Douglas P is an individual health care provider with primary practice located at 3925 N Gateway Dr , Appleton WI 54913-7863. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Calvin, Douglas P can be contacted via phone (920) 749-1171.

Contact Information

Primary practice address
3925 N Gateway Dr Appleton WI 54913-7863
Phone: (920) 749-1171
Fax: (920) 749-1172
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 13714 Mississippi
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 13714 Mississippi

Profile Details

NPI number 1780677906
LBN Legal business name Calvin, Douglas P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Feb 16th, 2016 - about 10 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 1780677906 NPPES
Florida MEDICAID 005570200

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