Camacho, Jenny Elyse

Camacho, Jenny Elyse is an individual health care provider with primary practice located at 4199 Gateway Blvd , Newburgh IN 47630-0001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Camacho, Jenny Elyse can be contacted via phone (812) 842-4200.

Contact Information

Primary practice address
4199 Gateway Blvd Newburgh IN 47630-0001
Phone: (812) 842-4200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 01082540A Indiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD2015-0035 New Mexico

Profile Details

NPI number 1861768780
LBN Legal business name Camacho, Jenny Elyse
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2012
Last updated Aug 1st, 2019 - about 5 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 1861768780 NPPES
Indiana MEDICAID 300028022

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