Doctor Name: | MR. PAUL K CALVERT |
NPI Number: | 1174526800 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 001435 |
Business Practice Address: | 2195 Cheat Road Suite 1 Morgantown, WV - 265084451 |
Business Phone Number: | 3045942500 |
Business Fax Number: | 3045949310 |
Mailing Address: | 2195 Cheat Road, Suite 1 MORGANTOWN |
State: | WV |
Postal Code: | 265084451 |
Phone Number: | 3045942500 |
Fax Number: | 3045949310 |
NPI Enumeration Date: | 05/27/2005 |
NPI Last Update Date: | 04/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 001435 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WV |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |