Calcamuggio, Lyle T.

Calcamuggio, Lyle T. is an individual health care provider with primary practice located at 11311 Bridgeport Way Sw Ste 302, Lakewood WA 98499-3071. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Calcamuggio, Lyle T. can be contacted via phone (253) 985-2920.

Contact Information

Primary practice address
11311 Bridgeport Way Sw Ste 302 Lakewood WA 98499-3071
Phone: (253) 985-2920
Fax: (253) 985-6812
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35060887 Ohio
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD60209694 Washington

Profile Details

NPI number 1255331922
LBN Legal business name Calcamuggio, Lyle T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Oct 13th, 2015 - about 9 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 1255331922 NPPES
Ohio Other 01981 PARAMOUNT
Ohio Other 160060036 PARAMOUNT
Ohio Other 000000244956 PARAMOUNT
Ohio Other 13-50420 PARAMOUNT
Ohio Other 0301634 PARAMOUNT
Ohio Other 4557213 PARAMOUNT
Ohio MEDICAID 0933986 PARAMOUNT

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