Individual
DR. JENNIFER SIVAK-CALLCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 MON HEALTH MEDICAL PARK DR STE 1100, MORGANTOWN, WV 26505-1143
(304) 598-2200
(304) 413-2222
Mailing address
1000 MON HEALTH MEDICAL PARK DR STE 1100, MORGANTOWN, WV 26505-1143
(304) 598-2200
(304) 413-2222
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
20698
WV
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
20698
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1806573000
—
WV
Enumeration date
03/08/2006
Last updated
04/01/2024
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