Mccalla, Kit C
Mccalla, Kit C is an individual health care provider with primary practice located at 3620 Nw Samaritan Dr Ste 202 , Corvallis OR 97330-3785. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mccalla, Kit C can be contacted via phone (541) 768-4810.Contact Information
Primary practice address
3620 Nw Samaritan Dr Ste 202
Corvallis OR 97330-3785
Phone: (541) 768-4810
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 147-321 | Wisconsin |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 3671 | Arizona |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | DO169772 | Oregon |
Profile Details
NPI number | 1487626313 |
---|---|
LBN Legal business name | Mccalla, Kit C |
Credentials | D.O., MBA |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 4th, 2006 |
Last updated | Jan 26th, 2021 - about 4 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 | 1487626313 | NPPES |
Arizona | MEDICAID | 596 009 | |
Arizona | Other | Z 119 971 |
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