Provider Demographics
NPI:1831789759
Name:CALHOUN, ALDRIC MARQUELL II
Entity type:Individual
Prefix:MR
First Name:ALDRIC
Middle Name:MARQUELL
Last Name:CALHOUN
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23557 ELLIS LEE RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLINTON
Mailing Address - State:LA
Mailing Address - Zip Code:70438-1386
Mailing Address - Country:US
Mailing Address - Phone:985-335-7394
Mailing Address - Fax:
Practice Address - Street 1:9410 LINDALE AVE STE B
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70815-4160
Practice Address - Country:US
Practice Address - Phone:225-768-7246
Practice Address - Fax:800-768-7675
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-25
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty