Calcote, Bryan S

Calcote, Bryan S is an individual health care provider with primary practice located at 527 Silver Cross Dr , Brookhaven MS 39601-2388. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Calcote, Bryan S can be contacted via phone (601) 835-0507.

Contact Information

Primary practice address
527 Silver Cross Dr Brookhaven MS 39601-2388
Fax: (601) 835-2766
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 14907 Mississippi

Profile Details

NPI number 1073622999
LBN Legal business name Calcote, Bryan S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jan 18th, 2013 - about 11 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 1073622999 NPPES
Mississippi MEDICAID 00117192

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