Calderone, Richard Charles
Calderone, Richard Charles is an individual health care provider with primary practice located at 2500 N State St Internal Medicine/Pediatrics, Jackson MS 39216-4500. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Calderone, Richard Charles can be contacted via phone (601) 984-5770.Contact Information
Primary practice address
2500 N State St Internal Medicine/Pediatrics
Jackson MS 39216-4500
Phone: (601) 984-5770
Fax: (601) 984-6665
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | T-2773 | Mississippi |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | T-2773 | Mississippi |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 21458 | Mississippi |
Profile Details
| NPI number | 1215340286 |
|---|---|
| LBN Legal business name | Calderone, Richard Charles |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2014 |
| Last updated | Jan 25th, 2016 - about 9 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 | 1215340286 | NPPES |
| Mississippi | Other | T-2773 | MISSISSIPPI STATE LICENSE |
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