Camacho, Jeanette M
Camacho, Jeanette M is an individual health care provider with primary practice located at 1 Cooper Plz , Camden NJ 08103-1461. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Pediatric Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Camacho, Jeanette M can be contacted via phone (856) 342-2506.Contact Information
Primary practice address
1 Cooper Plz
Camden NJ 08103-1461
Phone: (856) 342-2506
Fax: (856) 968-8312
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MA58158 | New Jersey |
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD045264E | Pennsylvania |
Allopathic & Osteopathic Physicians / Pediatric Pathology | 207ZP0213X | MA58158 | New Jersey |
Allopathic & Osteopathic Physicians / Pediatric Pathology | 207ZP0213X | MD045264E | Pennsylvania |
Profile Details
NPI number | 1952491730 |
---|---|
LBN Legal business name | Camacho, Jeanette M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 13th, 2006 |
Last updated | Apr 22nd, 2016 - about 8 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 | 1952491730 | NPPES |
Other | 24974 | UNIVERSITY HEALTHPLAN | |
Other | XK5420 | UNIVERSITY HEALTHPLAN | |
Other | 0295554000 | UNIVERSITY HEALTHPLAN | |
Other | P694316 | UNIVERSITY HEALTHPLAN | |
Other | 010003886 | UNIVERSITY HEALTHPLAN | |
Other | 1012256 | UNIVERSITY HEALTHPLAN | |
Other | 1448372 | UNIVERSITY HEALTHPLAN | |
MEDICAID | 5290601 | UNIVERSITY HEALTHPLAN | |
Other | 64713 | UNIVERSITY HEALTHPLAN |
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