Provider Demographics
NPI:1619427622
Name:CALENDINE, JOSIE GAYLE
Entity Type:Individual
Prefix:MRS
First Name:JOSIE
Middle Name:GAYLE
Last Name:CALENDINE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1340 SUSSEX LN
Mailing Address - Street 2:APARTMENT B
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-2934
Mailing Address - Country:US
Mailing Address - Phone:740-816-1292
Mailing Address - Fax:
Practice Address - Street 1:1340 SUSSEX LN
Practice Address - Street 2:APARTMENT B
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-2934
Practice Address - Country:US
Practice Address - Phone:740-816-1292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-13
Last Update Date:2016-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide