Ford, Camille
Ford, Camille is an individual health care provider with primary practice located at 5665 Hoover Rd , Grove City OH 43123-9122. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Ford, Camille can be contacted via phone (614) 539-6573.Contact Information
Primary practice address
5665 Hoover Rd
Grove City OH 43123-9122
Phone: (614) 539-6573
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Ohio | |
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | Ohio |
Profile Details
NPI number | 1619346632 |
---|---|
LBN Legal business name | Ford, Camille |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 21st, 2015 |
Last updated | Aug 20th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1619346632 | NPPES |
Ohio | MEDICAID | 2846675 |
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