Cameron, Russell E.

Cameron, Russell E. is an individual health care provider with primary practice located at 100 Hospital Ave , Du Bois PA 15801-1440. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Cameron, Russell E. can be contacted via phone (814) 375-3471.

Contact Information

Primary practice address
100 Hospital Ave Du Bois PA 15801-1440
Fax: (814) 375-3472
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD-068835-L Pennsylvania

Profile Details

NPI number 1073523353
LBN Legal business name Cameron, Russell E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Apr 14th, 2014 - about 10 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 1073523353 NPPES
Pennsylvania Other 000812953 BLUE CROSS
Pennsylvania MEDICAID 0017534910001 BLUE CROSS

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