Cameron, Roger

Cameron, Roger is an individual health care provider with primary practice located at 2304 W 29Th Ave Suite 1, Pine Bluff AR 71603-5005. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Cameron, Roger can be contacted via phone (870) 247-5222.

Contact Information

Primary practice address
2304 W 29Th Ave Suite 1 Pine Bluff AR 71603-5005
Phone: (870) 247-5222
Fax: (870) 671-4847
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X A-100 Arkansas

Profile Details

NPI number 1538553896
LBN Legal business name Cameron, Roger
Credentials ACADC, CCS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2015
Last updated Mar 25th, 2015 - about 11 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 1538553896 NPPES
Arkansas MEDICAID 206619740

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