Calhoun, Carolyn Ann
Calhoun, Carolyn Ann is an individual health care provider with primary practice located at 2321 N Wisconsin Ave , Peoria IL 61603-5613. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Calhoun, Carolyn Ann can be contacted via phone (309) 680-7600.Contact Information
Primary practice address
2321 N Wisconsin Ave
Peoria IL 61603-5613
Phone: (309) 680-7600
Fax: (309) 681-8443
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 209.010720 | Illinois |
Profile Details
| NPI number | 1811326317 |
|---|---|
| LBN Legal business name | Calhoun, Carolyn Ann |
| Credentials | APN, CNM |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 5th, 2013 |
| Last updated | Jul 21st, 2022 - about 3 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 | 1811326317 | NPPES |
| Illinois | MEDICAID | 5433001 |
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