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Individual

DR. JUSTIN PAUL CALHOUN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
7171 STATE ROUTE 96, VICTOR, NY 14564-8989
(585) 924-9540
(585) 924-4615
Mailing address
7171 STATE ROUTE 96, VICTOR, NY 14564-8989
(585) 924-9540
(585) 924-4615

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X008555
NY

Other

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
Enumeration date
08/22/2006
Last updated
09/11/2009
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