Calderon, Edye A

Calderon, Edye A is an individual health care provider with primary practice located at 319 E Josephine , Frederick OK 73542. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Calderon, Edye A can be contacted via phone (580) 335-7545.

Contact Information

Primary practice address
319 E Josephine Frederick OK 73542
Phone: (580) 335-7545
Fax: (580) 335-7619
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2868 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2868 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1645 Oklahoma

Profile Details

NPI number 1669577474
LBN Legal business name Calderon, Edye A
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Aug 13th, 2008 - about 17 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 1669577474 NPPES
Oklahoma Other 242722104 MEDICARE
Oklahoma MEDICAID 816176 MEDICARE
Oklahoma MEDICAID 200116340A MEDICARE

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