Calzada, Jorge I
Calzada, Jorge I is an sole proprietor health care provider with primary practice located at 7900 Airways Blvd Bldg A1 , Southaven MS 38671-4116. He recently has only one registered license in Allopathic & Osteopathic Physicians / Retina Specialist, which is considered as his primary health care specialty. Calzada, Jorge I can be contacted via phone (417) 889-2040.Contact Information
Primary practice address
7900 Airways Blvd Bldg A1
Southaven MS 38671-4116
Phone: (417) 889-2040
Fax: (417) 889-2041
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 39266 | Tennessee |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 19430 | Mississippi |
Profile Details
| NPI number | 1538154117 |
|---|---|
| LBN Legal business name | Calzada, Jorge I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2005 |
| Last updated | May 1st, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538154117 | NPPES |
| Mississippi | MEDICAID | 05172706 | |
| Mississippi | Other | 3370388 |
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