Calloway, Derek

Calloway, Derek is an individual health care provider with primary practice located at 159 Trout Ave , Groton CT 06349-5159. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Calloway, Derek can be contacted via phone (860) 694-2876.

Contact Information

Primary practice address
159 Trout Ave Groton CT 06349-5159
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1760119887
LBN Legal business name Calloway, Derek
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2022
Last updated Aug 8th, 2022 - about 2 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.

Request for update

Popular Providers