Harrison, Camille M.

Harrison, Camille M. is an sole proprietor health care provider with primary practice located at 72301 Country Club Dr Suite 108, Rancho Mirage CA 92270-8007. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Harrison, Camille M. can be contacted via phone (760) 895-1993.

Contact Information

Primary practice address
72301 Country Club Dr Suite 108 Rancho Mirage CA 92270-8007
Fax: (760) 862-1992
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X A64900 California

Profile Details

NPI number 1366520140
LBN Legal business name Harrison, Camille M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Oct 15th, 2013 - about 11 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 1366520140 NPPES
California MEDICAID 00A649000

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