Calvert, Terri L

Calvert, Terri L is an individual health care provider with primary practice located at 1000 Commerce Park Dr Suite 110, Williamsport PA 17701-5475. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Calvert, Terri L can be contacted via phone (570) 323-6944.

Contact Information

Primary practice address
1000 Commerce Park Dr Suite 110 Williamsport PA 17701-5475
Phone: (570) 323-6944
Fax: (570) 323-4529
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X PA045131L Pennsylvania

Profile Details

NPI number 1205914249
LBN Legal business name Calvert, Terri L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Dec 15th, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205914249 NPPES
Pennsylvania MEDICAID 001688660 0007

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