Cameron, Lisa Dawn
Cameron, Lisa Dawn is an individual health care provider with primary practice located at 1 Medical Center Drive , Morgantown WV 26506. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Cameron, Lisa Dawn can be contacted via phone (304) 598-4118.Contact Information
Primary practice address
1 Medical Center Drive
Morgantown WV 26506
Phone: (304) 598-4118
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 635 | West Virginia |
Profile Details
| NPI number | 1619047669 |
|---|---|
| LBN Legal business name | Cameron, Lisa Dawn |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619047669 | NPPES |
| West Virginia | MEDICAID | 3810005866 |
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