Hernandez, Cameron Phillip
Hernandez, Cameron Phillip is an individual health care provider with primary practice located at 11700 N Meridian St , Carmel IN 46032-4656. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Hernandez, Cameron Phillip can be contacted via phone (317) 688-3140.Contact Information
Primary practice address
11700 N Meridian St
Carmel IN 46032-4656
Phone: (317) 688-3140
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 10002316A | Indiana |
Profile Details
| NPI number | 1457873275 |
|---|---|
| LBN Legal business name | Hernandez, Cameron Phillip |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2017 |
| Last updated | Apr 19th, 2024 - about 2 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 | 1457873275 | NPPES |
| Indiana | MEDICAID | 300009880 | |
| Indiana | Other | Q00147578 | |
| Indiana | Other | 000001537485 | |
| Indiana | Other | 264430C45 | |
| Indiana | Other | 090540259 |
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