De La Pena, Jose Calixto

De La Pena, Jose Calixto is an individual health care provider with primary practice located at 5722 Intergrity Dr. Blgd S771 (Nbhc Midsouth, Millington TN 38054. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. De La Pena, Jose Calixto can be contacted via phone (901) 874-6143.

Contact Information

Primary practice address
5722 Intergrity Dr. Blgd S771 (Nbhc Midsouth Millington TN 38054
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 00053436 Tennessee

Profile Details

NPI number 1154391977
LBN Legal business name De La Pena, Jose Calixto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Jul 21st, 2022 - about 4 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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