Martin-Del-Campo, Henry

Martin-Del-Campo, Henry is an individual health care provider with primary practice located at 435 Maxine Dr , Morton IL 61550-2498. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Martin-Del-Campo, Henry can be contacted via phone (309) 263-2424.

Contact Information

Primary practice address
435 Maxine Dr Morton IL 61550-2498
Phone: (309) 263-2424
Fax: (309) 284-2255
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-062779 Illinois

Profile Details

NPI number 1457441743
LBN Legal business name Martin-Del-Campo, Henry
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2006
Last updated Dec 23rd, 2008 - about 16 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 1457441743 NPPES
Other P00622434 RR MEDICARE
Other CA2182 RR MEDICARE
MEDICAID 0360562779 RR MEDICARE
Other 833230 RR MEDICARE

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