Provider Demographics
NPI:1093706087
Name:CALHOUN, CHRISTOPHER S (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:S
Last Name:CALHOUN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 SOUTH MAST ROAD
Mailing Address - Street 2:ELLIOT FAMILY MEDICINE AT GLEN LAKE
Mailing Address - City:GOFFSTOWN
Mailing Address - State:NH
Mailing Address - Zip Code:03045
Mailing Address - Country:US
Mailing Address - Phone:603-497-5661
Mailing Address - Fax:603-497-5740
Practice Address - Street 1:89 SOUTH MAST ROAD
Practice Address - Street 2:ELLIOT FAMILY MEDICINE AT GLEN LAKE
Practice Address - City:GOFFSTOWN
Practice Address - State:NH
Practice Address - Zip Code:03045
Practice Address - Country:US
Practice Address - Phone:603-497-5661
Practice Address - Fax:603-497-5740
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH11266207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH0140910OtherUHC PIN
NH011266OtherTUFTS PIN
NH2591974OtherAETNA PIN
NHNH2107OtherHPHC PIN
NH30201480Medicaid
NH541241OtherCIGNA PIN
NHH37563OtherANTHEM REFERRING UPIN
NH2591974OtherAETNA PIN
NHH37563OtherANTHEM REFERRING UPIN