Crockett, Camille Elizabeth

Crockett, Camille Elizabeth is an individual health care provider with primary practice located at 1130 Smith Fieldhouse , Provo UT 84602-2246. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Crockett, Camille Elizabeth can be contacted via phone (801) 422-2946.

Contact Information

Primary practice address
1130 Smith Fieldhouse Provo UT 84602-2246
Phone: (801) 422-2946
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 11395933-4810 Utah

Profile Details

NPI number 1396393393
LBN Legal business name Crockett, Camille Elizabeth
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2019
Last updated Sep 3rd, 2019 - about 6 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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