Individual
JOHN P CALABRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8005 FARNAM DR, SUITE 305, OMAHA, NE 68114-3426
(402) 398-9243
(402) 398-9253
Mailing address
PO BOX 241353, OMAHA, NE 68124-5353
(402) 398-9243
(402) 398-9253
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
277044
MEDICARE INDIVIDUAL PIN
—
01
—
39170
BCBS
NE
01
—
97850
BCBS
IA
01
—
P00154888
RR MEDICARE
—
Enumeration date
06/18/2006
Last updated
02/11/2008
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