Kureth, Camille M

Kureth, Camille M is an individual health care provider with primary practice located at 611 E Douglas Rd , Mishawaka IN 46545-1464. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kureth, Camille M can be contacted via phone (574) 335-6242.

Contact Information

Primary practice address
611 E Douglas Rd Mishawaka IN 46545-1464
Phone: (574) 335-6242
Fax: (574) 335-6243
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01071180B Indiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301036427 Michigan

Profile Details

NPI number 1699743849
LBN Legal business name Kureth, Camille M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Sep 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699743849 NPPES
Indiana MEDICAID 201067770
Indiana MEDICAID 4827848/10
Indiana Other 000000200925

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