Demott-Camp, Jennifer

Demott-Camp, Jennifer is an individual health care provider with primary practice located at 1500 W Chestnut St , Washington PA 15301-5864. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Demott-Camp, Jennifer can be contacted via phone (724) 228-5610.

Contact Information

Primary practice address
1500 W Chestnut St Washington PA 15301-5864
Phone: (724) 228-5610
Fax: (724) 222-7565
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0EG000199 Pennsylvania

Profile Details

NPI number 1851396170
LBN Legal business name Demott-Camp, Jennifer
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Jan 4th, 2011 - about 13 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 1851396170 NPPES
Pennsylvania MEDICAID 016023160004
Pennsylvania MEDICAID 01602316006
Pennsylvania MEDICAID 01602316003

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