Camp, Tommy Dean
Camp, Tommy Dean is an individual health care provider with primary practice located at 1101 Nw 178Th St Suite B, Edmond OK 73012-4281. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Camp, Tommy Dean can be contacted via phone (405) 285-2161.Contact Information
Primary practice address
1101 Nw 178Th St Suite B
Edmond OK 73012-4281
Phone: (405) 285-2161
Fax: (405) 726-8277
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 880 | Oklahoma |
Profile Details
| NPI number | 1508807520 |
|---|---|
| LBN Legal business name | Camp, Tommy Dean |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Apr 22nd, 2020 - about 6 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 | 1508807520 | NPPES |
| Oklahoma | MEDICAID | 1002275A |
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