Provider Demographics
NPI:1730414160
Name:CALHOUN, PATRICIA B
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:B
Last Name:CALHOUN
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:PATRICIA
Other - Middle Name:B
Other - Last Name:CHANDLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:518 RYERS AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:CHELTENHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19012-2131
Mailing Address - Country:US
Mailing Address - Phone:267-287-8532
Mailing Address - Fax:267-284-8538
Practice Address - Street 1:518 RYERS AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:CHELTENHAM
Practice Address - State:PA
Practice Address - Zip Code:19012-2131
Practice Address - Country:US
Practice Address - Phone:267-287-8532
Practice Address - Fax:267-287-8538
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-02
Last Update Date:2011-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA469591246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy