Calderon, Vincent
Calderon, Vincent is an individual health care provider with primary practice located at 10301 Kanis Rd Ste 1 , Little Rock AR 72205-6205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Calderon, Vincent can be contacted via phone (501) 562-4838.Contact Information
Primary practice address
10301 Kanis Rd Ste 1
Little Rock AR 72205-6205
Phone: (501) 562-4838
Fax: (501) 562-1958
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | C8179 | Arkansas |
Profile Details
| NPI number | 1972508513 |
|---|---|
| LBN Legal business name | Calderon, Vincent |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2005 |
| Last updated | Jan 23rd, 2024 - about 8 months 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 | 1972508513 | NPPES |
| Arkansas | Other | 1220028 | UNITED HEALTH CARE NUMBER |
| Arkansas | Other | 5J058 | UNITED HEALTH CARE NUMBER |
| Arkansas | MEDICAID | 123526001 | UNITED HEALTH CARE NUMBER |
| Arkansas | Other | 11185 | UNITED HEALTH CARE NUMBER |
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