Lane, Cameron A

Lane, Cameron A is an sole proprietor health care provider with primary practice located at 3016 W. Main Street Suite 200, Russellville AR 72801-2453. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Lane, Cameron A can be contacted via phone (479) 967-9657.

Contact Information

Primary practice address
3016 W. Main Street Suite 200 Russellville AR 72801-2453
Phone: (479) 967-9657
Fax: (479) 967-9658
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT1836 Arkansas

Profile Details

NPI number 1477551935
LBN Legal business name Lane, Cameron A
Credentials DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2005
Last updated Nov 1st, 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 1477551935 NPPES
Arkansas MEDICAID 136073721
Arkansas MEDICAID 136075742

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