Crockett, Cameron D

Crockett, Cameron D is an sole proprietor health care provider with primary practice located at 600 Highland Ave , Madison WI 53792-1002. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Crockett, Cameron D can be contacted via phone (608) 263-5442.

Contact Information

Primary practice address
600 Highland Ave Madison WI 53792-1002
Phone: (608) 263-5442
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2016019449 Missouri
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 2016019449 Missouri
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 80065 Wisconsin
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 80065 Wisconsin

Profile Details

NPI number 1407206634
LBN Legal business name Crockett, Cameron D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2016
Last updated Aug 23rd, 2022 - about 2 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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