Camacho, Sherry L
Camacho, Sherry L is an individual health care provider with primary practice located at 600 Walnut St , Greenville OH 45331-1944. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Camacho, Sherry L can be contacted via phone (937) 548-6842.Contact Information
Primary practice address
600 Walnut St
Greenville OH 45331-1944
Phone: (937) 548-6842
Fax: (937) 548-8938
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 111358 | Ohio |
Profile Details
NPI number | 1194082636 |
---|---|
LBN Legal business name | Camacho, Sherry L |
Credentials | LCDC II |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 23rd, 2012 |
Last updated | Apr 16th, 2019 - about 6 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 | 1194082636 | NPPES |
Ohio | MEDICAID | 0286527 |
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