Mccalmon, Carolina

Mccalmon, Carolina is an individual health care provider with primary practice located at 1500 Route 112 Ste 101 , Port Jefferson Station NY 11776-8054. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mccalmon, Carolina can be contacted via phone (631) 751-3000.

Contact Information

Primary practice address
1500 Route 112 Ste 101 Port Jefferson Station NY 11776-8054
Phone: (631) 751-3000
Fax: (631) 509-6559
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-12197 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 020768 New York

Profile Details

NPI number 1619374824
LBN Legal business name Mccalmon, Carolina
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2014
Last updated Jun 29th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619374824 NPPES
Florida MEDICAID 013935600
Florida Other P01409146

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