Healthcare Provider Details

I. General information

NPI: 1407822257
Provider Name (Legal Business Name): JOHN P CALCATERA DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2006
Last Update Date: 03/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1009 MONTGOMERY HWY STE 100
BIRMINGHAM AL
35216-2843
US

IV. Provider business mailing address

1009 MONTGOMERY HWY STE100
BIRMINGHAM AL
35216-2843
US

V. Phone/Fax

Practice location:
  • Phone: 205-822-2116
  • Fax: 205-979-9422
Mailing address:
  • Phone: 205-822-2116
  • Fax: 205-979-9422

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number112
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: