Camenga, David Leroy

Camenga, David Leroy is an sole proprietor health care provider with primary practice located at 420 E Stark Rd , Milton WI 53563-8300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Camenga, David Leroy can be contacted via phone (320) 630-3203.

Contact Information

Primary practice address
420 E Stark Rd Milton WI 53563-8300
Phone: (320) 630-3203
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 31440 Minnesota
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 31720-020 Wisconsin
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME 93547 Florida

Profile Details

NPI number 1841487345
LBN Legal business name Camenga, David Leroy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2007
Last updated Sep 27th, 2007 - about 17 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 1841487345 NPPES
Minnesota MEDICAID 287508000
Minnesota MEDICAID 38724800
Minnesota MEDICAID 32753000

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