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
Phone: (765) 449-4758
Fax: (765) 449-0659
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1912438235 | NPPES |
Indiana | Other | 07001349A | DPM LICENSE |
Indiana | Other | 07001349B | DPM LICENSE |
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