Hollen, Camilla Earlene
Hollen, Camilla Earlene is an individual health care provider with primary practice located at 1057 Martinsburg Pike , Winchester VA 22603-5409. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Hollen, Camilla Earlene can be contacted via phone (540) 665-3299.Contact Information
Primary practice address
1057 Martinsburg Pike
Winchester VA 22603-5409
Phone: (540) 665-3299
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 0110002830 | Virginia |
Profile Details
| NPI number | 1871742825 |
|---|---|
| LBN Legal business name | Hollen, Camilla Earlene |
| Credentials | MMS, PA-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2008 |
| Last updated | Jul 26th, 2016 - about 10 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 | 1871742825 | NPPES |
| Virginia | MEDICAID | 1871742825 | |
| Virginia | Other | P00765854 |
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