Calderon, Javier E

Calderon, Javier E is an individual health care provider with primary practice located at 540 Parmalee Ave , Youngstown OH 44510-1716. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Calderon, Javier E can be contacted via phone (330) 744-4369.

Contact Information

Primary practice address
540 Parmalee Ave Youngstown OH 44510-1716
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 35-07-8353C Ohio

Profile Details

NPI number 1538141718
LBN Legal business name Calderon, Javier E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Jul 8th, 2010 - about 15 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 1538141718 NPPES
Ohio MEDICAID 2199820

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