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Contact Information

ANGELA C CALICCHIO, LAT, ATC
1810 N WEDGEWOOD LN
#41
CEDAR CITY, UT84721-7895
 Phone: 435-640-2097
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for ANGELA C CALICCHIO · (Female)

NPI # 1821452178
Status Active
Credentials LAT, ATC
Entity Individual
Enumeration date 04/12/2016
Last updated 04/12/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 8081578-4810
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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