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NPI Code Detail

MEDICARE: CALVIN BURNEY

MEDICARE: CALVIN BURNEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1386467322
Entity Type Code : Individual
Provider Name (Legal Business Name) : CALVIN BURNEY
Provider Business Mailing Address
First Line : 3221 STONE QUARRY BLVD
Second Line :
City : MAUMEE
State : OH
Zip : 43537-9682
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3248 WARSAW ST
Second Line :
City : TOLEDO
State : OH
Zip : 43608-1852
Country : US
Telephone Number : 419-244-9900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2024
Last Update Date : 11/14/2024

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Directions to “ CALVIN BURNEY ” Practice Location

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