Camacho, Richard O
Camacho, Richard O is an sole proprietor health care provider with primary practice located at 1805 N California St Ste 406 , Stockton CA 95204-6033. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Camacho, Richard O can be contacted via phone (209) 227-7806.Contact Information
Primary practice address
1805 N California St Ste 406
Stockton CA 95204-6033
Phone: (209) 227-7806
Fax: (209) 851-3853
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A93056 | California |
Profile Details
| NPI number | 1649253881 |
|---|---|
| LBN Legal business name | Camacho, Richard O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 22nd, 2005 |
| Last updated | Oct 28th, 2018 - about 7 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 | 1649253881 | NPPES |
| Oregon | MEDICAID | 233118 |
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