Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 35091332 | OH |
N | 208600000X | Surgeon | 35091332 | OH |
N | 208200000X | Surgeon | 44951 | WI |
N | 208600000X | Surgeon | 44951 | WI |
Y | 208200000X | Surgeon | C53924 | CA |
Y | 208600000X | Surgeon | C53924 | CA |
N | 2086S0102X | Surgical Critical Care | 35091332 | OH |
N | 2086S0102X | Surgical Critical Care | C53924 | CA |
N | 2086S0127X | Trauma Surgeon | C53924 | CA |
NPI | 1023066677 |
---|---|
Provider Name | Rachael A Callcut |
First Address | Sacramento, CA 95817-2201 |
Second Address | Sacramento, CA 95817-2201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2006 |
Last Update Date | 20/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2000915630 | (05) | IN |
2905397 | (05) | OH |
7100058450 | (05) | KY |