Calvin, Leann Dawn

Calvin, Leann Dawn is an individual health care provider with primary practice located at 619 S Fleishel Ave Ste 100 , Tyler TX 75701-2004. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Calvin, Leann Dawn can be contacted via phone (903) 606-2830.

Contact Information

Primary practice address
619 S Fleishel Ave Ste 100 Tyler TX 75701-2004
Phone: (903) 606-2830
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP135544 Texas

Profile Details

NPI number 1114438892
LBN Legal business name Calvin, Leann Dawn
Credentials AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2017
Last updated May 21st, 2019 - about 7 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 1114438892 NPPES
Texas Other P02210699 MEDICARE RAIL ROAD
Texas MEDICAID 381756102 MEDICARE RAIL ROAD

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