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Contact Information

BOBIE CALICUTT
2055 CRAIGSHIRE RD STE 420F
SAINT LOUIS, MO63146-4043
 Phone: 816-400-4276
 Fax: 314-887-7004
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for BOBIE CALICUTT · (Female)

NPI Number 1730631508
Status Active
Credentials
Entity Individual
Enumeration date 10/27/2016
Last updated 06/24/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # T208137023
  • MO Medicaid 1730631508
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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