Basic Information
Provider Information
NPI: 1841566049
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHLEPP
FirstName: CALVIN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2442 WINNE AVE
Address2:  
City: HELENA
State: MT
PostalCode: 596014921
CountryCode: US
TelephoneNumber: 5757580009
FaxNumber: 5757588736
Practice Location
Address1: 1959 NE PACIFIC ST
Address2: BOX 356410
City: SEATTLE
State: WA
PostalCode: 981956410
CountryCode: US
TelephoneNumber: 2065433687
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/02/2012
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000X60294633WAN Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 
207X00000XMD2017-0260NMN Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 
207X00000X66727MTY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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