Camacho, Jeanette

Camacho, Jeanette is an individual health care provider with primary practice located at 1717 W Chandler Blvd , Chandler AZ 85224-6145. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Camacho, Jeanette can be contacted via phone (480) 821-7565.

Contact Information

Primary practice address
1717 W Chandler Blvd Chandler AZ 85224-6145
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 15737 Arizona

Profile Details

NPI number 1376522706
LBN Legal business name Camacho, Jeanette
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated Jul 8th, 2007 - about 18 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 1376522706 NPPES
Arizona MEDICAID 171687

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