Cameron, Alan Bart

Cameron, Alan Bart is an individual health care provider with primary practice located at 5012 4Th Ave , Kenosha WI 53140-2902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cameron, Alan Bart can be contacted via phone (612) 920-0365.

Contact Information

Primary practice address
5012 4Th Ave Kenosha WI 53140-2902
Phone: (612) 920-0365
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 19254 Wisconsin

Profile Details

NPI number 1417018656
LBN Legal business name Cameron, Alan Bart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417018656 NPPES
Wisconsin Other 19254 LICENSE
Wisconsin Other 017204 LICENSE

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