O'Campo, Joanna Caridad

O'Campo, Joanna Caridad is an individual health care provider with primary practice located at 1896 E Babbit Lane Suite C, San Luis AZ 85349-0000. 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. O'Campo, Joanna Caridad can be contacted via phone (928) 722-6112.

Contact Information

Primary practice address
1896 E Babbit Lane Suite C San Luis AZ 85349-0000
Phone: (928) 722-6112
Fax: (928) 722-6113
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5109 Arizona

Profile Details

NPI number 1750655288
LBN Legal business name O'Campo, Joanna Caridad
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2012
Last updated May 19th, 2016 - about 8 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 1750655288 NPPES
Arizona Other Z153406 MEDICARE PTAN
Arizona MEDICAID 680423 MEDICARE PTAN

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