Provider Demographics
NPI:1316404791
Name:CALHOUN, SHEILA (LAC)
Entity Type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:
Last Name:CALHOUN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 W ROSETTA AVE
Mailing Address - Street 2:
Mailing Address - City:FOLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36535-2224
Mailing Address - Country:US
Mailing Address - Phone:256-527-3742
Mailing Address - Fax:
Practice Address - Street 1:106 W ROSETTA AVE
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-2224
Practice Address - Country:US
Practice Address - Phone:256-527-3742
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-21
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU02572171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist