Provider Demographics
NPI:1447298252
Name:CALKINS, JOSEPH LEROY (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:LEROY
Last Name:CALKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:202 BUTLER AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-6306
Mailing Address - Country:US
Mailing Address - Phone:717-393-8190
Mailing Address - Fax:717-393-8192
Practice Address - Street 1:202 BUTLER AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-6306
Practice Address - Country:US
Practice Address - Phone:717-393-8190
Practice Address - Fax:717-393-8192
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD023391E207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA097518TVBMedicare PIN
PAB36282Medicare UPIN