Cameron, Marlene

Cameron, Marlene is an individual health care provider with primary practice located at 1033 W Quinn Rd , Pocatello ID 83202-2425. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Cameron, Marlene can be contacted via phone (208) 233-4800.

Contact Information

Primary practice address
1033 W Quinn Rd Pocatello ID 83202-2425
Phone: (208) 233-4800
Fax: (208) 233-4887
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT-622 Idaho

Profile Details

NPI number 1548569148
LBN Legal business name Cameron, Marlene
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2011
Last updated Jun 21st, 2011 - about 14 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 1548569148 NPPES
Idaho Other PT-622 PT LICENCE

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