Calderoni, Henry
Calderoni, Henry is an individual health care provider with primary practice located at 5055 Mcnutt Rd , Santa Teresa NM 88008-9442. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Calderoni, Henry can be contacted via phone (575) 589-5005.Contact Information
Primary practice address
5055 Mcnutt Rd
Santa Teresa NM 88008-9442
Phone: (575) 589-5005
Fax: (575) 589-1333
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | F8430 | Texas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 80-18 | New Mexico |
Profile Details
| NPI number | 1861483083 |
|---|---|
| LBN Legal business name | Calderoni, Henry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 4th, 2005 |
| Last updated | Jun 15th, 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 | 1861483083 | NPPES |
| New Mexico | MEDICAID | 000G6207 | |
| New Mexico | MEDICAID | 115519404 | |
| New Mexico | Other | 476935ZS5H | |
| New Mexico | Other | 080166729 | |
| New Mexico | MEDICAID | 908609J10 |
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