Calvin, Donna J.

Calvin, Donna J. is an individual health care provider with primary practice located at 31 W 155Th St , Harvey IL 60426-3556. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Calvin, Donna J. can be contacted via phone (708) 596-5177.

Contact Information

Primary practice address
31 W 155Th St Harvey IL 60426-3556
Fax: (708) 596-5518
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209002917 Illinois

Profile Details

NPI number 1164577920
LBN Legal business name Calvin, Donna J.
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Jun 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164577920 NPPES
Illinois MEDICAID 209002917
Illinois MEDICAID 277001599

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