Mccalla, Kit C

Mccalla, Kit C is an individual health care provider with primary practice located at 3620 Nw Samaritan Dr Ste 202 , Corvallis OR 97330-3785. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mccalla, Kit C can be contacted via phone (541) 768-4810.

Contact Information

Primary practice address
3620 Nw Samaritan Dr Ste 202 Corvallis OR 97330-3785
Phone: (541) 768-4810
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 147-321 Wisconsin
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 3671 Arizona
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X DO169772 Oregon

Profile Details

NPI number 1487626313
LBN Legal business name Mccalla, Kit C
Credentials D.O., MBA
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2006
Last updated Jan 26th, 2021 - about 5 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 1487626313 NPPES
Arizona MEDICAID 596 009
Arizona Other Z 119 971

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