Cameron, George Eugene
Cameron, George Eugene is an individual health care provider with primary practice located at 1780 Hanshaw Rd , Ithaca NY 14850-9105. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Cameron, George Eugene can be contacted via phone (607) 257-5858.Contact Information
Primary practice address
1780 Hanshaw Rd
Ithaca NY 14850-9105
Phone: (607) 257-5858
Fax: (607) 257-1718
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 005211-1 | New York |
Profile Details
NPI number | 1417926692 |
---|---|
LBN Legal business name | Cameron, George Eugene |
Credentials | PAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 17th, 2006 |
Last updated | Jun 22nd, 2011 - about 13 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 | 1417926692 | NPPES |
New York | MEDICAID | 02559135 | |
New York | Other | CC8362 | |
New York | Other | P00225148 |
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