Provider Demographics
NPI:1518063320
Name:CALHOUN, ARTHUR LEWIS (MD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:LEWIS
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 1:104 COLUMBIA ST
Mailing Address - Street 2:
Mailing Address - City:WEST UNION
Mailing Address - State:WV
Mailing Address - Zip Code:26456-1164
Mailing Address - Country:US
Mailing Address - Phone:304-873-2590
Mailing Address - Fax:
Practice Address - Street 1:104 COLUMBIA ST
Practice Address - Street 2:
Practice Address - City:WEST UNION
Practice Address - State:WV
Practice Address - Zip Code:26456-1164
Practice Address - Country:US
Practice Address - Phone:304-873-2590
Practice Address - Fax:304-873-1792
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV11250207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV1806301000Medicaid
WV1806301000Medicaid
WV4055521Medicare PIN
A71968Medicare UPIN
WV4055522Medicare PIN
WV4055523Medicare PIN