Gifford, Cameron Douglas
Gifford, Cameron Douglas is an individual health care provider with primary practice located at 601 W 2Nd St , Bloomington IN 47403-2317. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gifford, Cameron Douglas can be contacted via phone (812) 676-4542.Contact Information
Primary practice address
601 W 2Nd St
Bloomington IN 47403-2317
Phone: (812) 676-4542
Fax: (812) 353-3713
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01048 | North Carolina |
Profile Details
| NPI number | 1396740874 |
|---|---|
| LBN Legal business name | Gifford, Cameron Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2005 |
| Last updated | Jan 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396740874 | NPPES |
| North Carolina | Other | P00444621 | RAILROAD MEDICARE |
| North Carolina | Other | 129M5 | RAILROAD MEDICARE |
| North Carolina | Other | 801561 | RAILROAD MEDICARE |
| North Carolina | MEDICAID | 89129M5 | RAILROAD MEDICARE |
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