Camisa, Leanne M

Camisa, Leanne M is an individual health care provider with primary practice located at 1095 Marshall Way , Placerville CA 95667-5722. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Camisa, Leanne M can be contacted via phone (530) 626-2920.

Contact Information

Primary practice address
1095 Marshall Way Placerville CA 95667-5722
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A060768 California

Profile Details

NPI number 1124081377
LBN Legal business name Camisa, Leanne M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Feb 26th, 2020 - about 4 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 1124081377 NPPES
California MEDICAID 00A607680

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