Individual
VINCENT CALHOUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
51517 HAVERHILL CT, SOUTH BEND, IN 46637-1334
(574) 339-1074
Mailing address
51517 HAVERHILL CT, SOUTH BEND, IN 46637-1334
(574) 339-1074
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10005003A
IN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/08/2023
Last updated
09/15/2025
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