Kistenfeger, Cami Jo
Kistenfeger, Cami Jo is an individual health care provider with primary practice located at 53880 Carmichael Dr , South Bend IN 46635-1567. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kistenfeger, Cami Jo can be contacted via phone (574) 247-9441.Contact Information
Primary practice address
53880 Carmichael Dr
South Bend IN 46635-1567
Phone: (574) 247-9441
Fax: (745) 247-9442
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085.003920 | Illinois |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 10004288A | Indiana |
Profile Details
| NPI number | 1053620930 |
|---|---|
| LBN Legal business name | Kistenfeger, Cami Jo |
| Credentials | MPAS, PA-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2010 |
| Last updated | Feb 26th, 2024 - about last year |
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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