National Provider Identifier Database

BONTAYA CALVIN, CERTIFIED HAIRLOSS – NPI #1982215778
Prosthetics Case Management

A case manager who provides services for patients with prosthetics.


Contact Information

BONTAYA CALVIN, CERTIFIED HAIRLOSS
4305 HARVEST HILL RD
MEMPHIS, TN38141-6933
Phone: 901-236-9256
Fax:
Website:
Specialty Taxonomy Code
* Prosthetics Case Management 1744P3200X
Prosthetist 224P00000X

* Indicates primary specialty

NPI Profile & details for BONTAYA CALVIN

NPI Number 1982215778
Credentials CERTIFIED HAIRLOSS
Entity Individual
Enumeration date 08/14/2020
Last updated 08/14/2020 - About 6 years ago
Sole proprietor1 Yes
Identifiers
  • TN License #: 157804
Hospital affiliation n/a

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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