Elmer, Cameron John
Elmer, Cameron John is an sole proprietor health care provider with primary practice located at 104 N Walnut St , West Union IA 52175-1347. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Elmer, Cameron John can be contacted via phone (563) 422-5629.Contact Information
Primary practice address
104 N Walnut St
West Union IA 52175-1347
Phone: (563) 422-5629
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 6970 | Iowa |
Profile Details
| NPI number | 1417029208 |
|---|---|
| LBN Legal business name | Elmer, Cameron John |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417029208 | NPPES |
| Iowa | MEDICAID | 1217299 |
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