# DR. JUSTIN PAUL CALHOUN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1174639108
- **Gender:** Man
- **Credential:** D.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X008555 | NY | Yes |

## Other

- **Enumeration date:** 08/22/2006
- **Last updated:** 09/11/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 14263B | MEDICARE \# | NY |
| 01 | — | C08555-7 | WORKERS COMP. PROVIDER \# | NM |
| 01 | — | P010008555 | BLUE CROSS / BLUE SHIELD | NY |