Individual
CAROL E CALHOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
1185 SWEET HOME RD, AMHERST, NY 14226-1018
(716) 668-9004
(716) 422-2802
Mailing address
1185 SWEET HOME RD, ATTN: CREDENTIALING, AMHERST, NY 14226-1018
(716) 689-0040
(716) 422-2802
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0094001
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026590301
UNIVERA
NY
01
—
000570456001
BLUE CROSS/BLUE SHIELD
NY
01
—
0046122
GHI
NY
05
—
01266531
—
NY
01
—
9512039
INDPENDENT HEALTH
NY
Enumeration date
10/08/2005
Last updated
08/03/2016
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