Provider Demographics
NPI:1174231567
Name:CALKINS, GEOFFREY DAVID (HAD)
Entity type:Individual
Prefix:MR
First Name:GEOFFREY
Middle Name:DAVID
Last Name:CALKINS
Suffix:
Gender:M
Credentials:HAD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3353 BEARD RD
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-3407
Mailing Address - Country:US
Mailing Address - Phone:707-257-3889
Mailing Address - Fax:707-257-2072
Practice Address - Street 1:3353 BEARD RD
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-3407
Practice Address - Country:US
Practice Address - Phone:707-257-3889
Practice Address - Fax:707-257-2072
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-14
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA2791237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist