Kalloz, John Richard

Kalloz, John Richard is an individual health care provider with primary practice located at 15 Ridgewood Ln , Gettysburg PA 17325-8512. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kalloz, John Richard can be contacted via phone (717) 334-4501.

Contact Information

Primary practice address
15 Ridgewood Ln Gettysburg PA 17325-8512
Phone: (717) 334-4501
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD022239E Pennsylvania
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD022239E Pennsylvania

Profile Details

NPI number 1770583882
LBN Legal business name Kalloz, John Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Feb 11th, 2014 - about 12 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 1770583882 NPPES
Maryland MEDICAID 316311300
Maryland MEDICAID 000797876

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