Camacho Fuentes, Jaime J
Camacho Fuentes, Jaime J is an individual health care provider with primary practice located at 6201 Leesburg Pike Ste 410, Falls Church VA 22044-2201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Camacho Fuentes, Jaime J can be contacted via phone (703) 532-5044.Contact Information
Primary practice address
6201 Leesburg Pike Ste 410
Falls Church VA 22044-2201
Phone: (703) 532-5044
Fax: (703) 532-5944
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101057770 | Virginia |
Profile Details
| NPI number | 1881668606 |
|---|---|
| LBN Legal business name | Camacho Fuentes, Jaime J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 16th, 2006 |
| Last updated | Nov 9th, 2007 - about 17 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 | 1881668606 | NPPES |
| Other | 765467 | MEDICARE GROUP |
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