Calderon, Jose Wilfrido
Calderon, Jose Wilfrido is an sole proprietor health care provider with primary practice located at 1221 S Gear Ave , W Burlington IA 52655-1679. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Calderon, Jose Wilfrido can be contacted via phone (319) 753-2491.Contact Information
Primary practice address
1221 S Gear Ave
W Burlington IA 52655-1679
Phone: (319) 753-2491
Fax: (319) 753-2491
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 2007 | Iowa |
Profile Details
| NPI number | 1255389854 |
|---|---|
| LBN Legal business name | Calderon, Jose Wilfrido |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 5th, 2006 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255389854 | NPPES |
| Iowa | Other | 28509 | BLUE CROSS-BLUE SHIELD |
| Iowa | MEDICAID | 0285098 | BLUE CROSS-BLUE SHIELD |
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