Mccalla, Thomas Howard

Mccalla, Thomas Howard is an individual health care provider with primary practice located at 816 W Bayou Pines Dr , Lake Charles LA 70601-7077. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mccalla, Thomas Howard can be contacted via phone (337) 439-8588.

Contact Information

Primary practice address
816 W Bayou Pines Dr Lake Charles LA 70601-7077
Fax: (337) 439-0808
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X LA015416 Louisiana

Profile Details

NPI number 1124006978
LBN Legal business name Mccalla, Thomas Howard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Jul 8th, 2007 - about 18 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 1124006978 NPPES
Louisiana MEDICAID 1337251

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