Camp, Michael James

Camp, Michael James is an individual health care provider with primary practice located at 555 W 6Th St , Mountain Home AR 72653-3409. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Camp, Michael James can be contacted via phone (870) 425-8288.

Contact Information

Primary practice address
555 W 6Th St Mountain Home AR 72653-3409
Phone: (870) 425-8288
Fax: (870) 425-8299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X N7865 Arkansas

Profile Details

NPI number 1558363622
LBN Legal business name Camp, Michael James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2005
Last updated Aug 18th, 2021 - about 5 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 1558363622 NPPES
Arkansas MEDICAID 117380001
Arkansas Other 12819000000
Arkansas Other 53579
Arkansas Other A002

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