Calderon, Cicero M.

Calderon, Cicero M. is an individual health care provider with primary practice located at 16909 Q St , Omaha NE 68135-1521. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Calderon, Cicero M. can be contacted via phone (402) 955-7575.

Contact Information

Primary practice address
16909 Q St Omaha NE 68135-1521
Phone: (402) 955-7575
Fax: (402) 955-7555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 20196 Nebraska

Profile Details

NPI number 1023113313
LBN Legal business name Calderon, Cicero M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Jan 28th, 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 1023113313 NPPES
Nebraska Other 31406 BCBS
Nebraska Other 5037 BCBS
Nebraska MEDICAID 47068937211 BCBS
Nebraska Other 93485 BCBS

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