Individual
DR. SIMON PAUL CALVILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
1322 W MAIN ST, FOREST CITY, NC 28043-2555
(828) 245-4002
(828) 245-4025
Mailing address
1322 W MAIN ST, FOREST CITY, NC 28043-2555
(828) 289-6828
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2198
NC
111N00000X
Chiropractor
4234
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0829F
BLUE CROSS BLUE SHIELD
NC
01
—
14163723
WASAU
NC
01
—
262694
MAMSI
NC
05
—
890829F
—
NC
Enumeration date
08/22/2006
Last updated
04/28/2017
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