Camp, Bryan M

Camp, Bryan M is an individual health care provider with primary practice located at 2020 Union St Ste 100 , Lafayette IN 47904-2694. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Camp, Bryan M can be contacted via phone (765) 449-4758.

Contact Information

Primary practice address
2020 Union St Ste 100 Lafayette IN 47904-2694
Fax: (765) 449-0659
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 07001349A Indiana

Profile Details

NPI number 1912438235
LBN Legal business name Camp, Bryan M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2017
Last updated Aug 1st, 2023 - about last year

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 1912438235 NPPES
Indiana Other 07001349A DPM LICENSE
Indiana Other 07001349B DPM LICENSE

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