Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 0101248492 | VA |
N | 207N00000X | Dermatologist | 46085 | MA |
NPI | 1023128774 |
---|---|
Provider Name | Jean K. Calhoun |
First Address | Glen Allen, VA 23059-2623 |
Second Address | Glen Allen, VA 23059-2623 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 12/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0014518 | NEIGHBORHOOD HEALTH PLAN (01) | MA |
046085 | TUFTS HEALTH PLAN (01) | MA |
3184501 | (05) | MA |
7507775-002 | CIGNA (01) | MA |
B73844 | (02) | MA |
E05812 | BLUE CROSS (01) | MA |
PD139 | HARVARD PILGRIM (01) | MA |