Camillo, Donald

Camillo, Donald is an sole proprietor health care provider with primary practice located at 1854 Lakepointe Dr , Lewisville TX 75057-6442. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Camillo, Donald can be contacted via phone (972) 315-1401.

Contact Information

Primary practice address
1854 Lakepointe Dr Lewisville TX 75057-6442
Phone: (972) 315-1401
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 35211 Texas

Profile Details

NPI number 1093896490
LBN Legal business name Camillo, Donald
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2006
Last updated Aug 14th, 2008 - about 16 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 1093896490 NPPES
Texas Other DX62 BLUE CROSS / BLUE SHIELD
Texas MEDICAID 0071391-01 BLUE CROSS / BLUE SHIELD

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