Callicoat, Paul Edward
Callicoat, Paul Edward is an sole proprietor health care provider with primary practice located at 900 E 13Th St Suite 200, Grove OK 74344-2975. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Callicoat, Paul Edward can be contacted via phone (918) 786-7667.Contact Information
Primary practice address
900 E 13Th St Suite 200
Grove OK 74344-2975
Phone: (918) 786-7667
Fax: (918) 786-7699
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 17987 | Oklahoma |
Profile Details
| NPI number | 1063411536 |
|---|---|
| LBN Legal business name | Callicoat, Paul Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2005 |
| Last updated | May 20th, 2010 - about 14 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 | 1063411536 | NPPES |
| Oklahoma | MEDICAID | 100034060A |
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