Camacho, Justin Louie
Camacho, Justin Louie is an individual health care provider with primary practice located at 901 Macarthur Blvd , Munster IN 46321-2959. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine. Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine is his primary health care specialty. Camacho, Justin Louie can be contacted via phone (219) 836-1600.Contact Information
Primary practice address
901 Macarthur Blvd
Munster IN 46321-2959
Phone: (219) 836-1600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 28240550A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine | 363LC0200X | 71014667A | Indiana |
Profile Details
| NPI number | 1689447500 |
|---|---|
| LBN Legal business name | Camacho, Justin Louie |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2023 |
| Last updated | Nov 27th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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