O'Campo, Manuela B

O'Campo, Manuela B is an individual health care provider with primary practice located at 21000 E 12 Mile Rd 102, St Clair Shores MI 48081-1116. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. O'Campo, Manuela B can be contacted via phone (810) 447-5700.

Contact Information

Primary practice address
21000 E 12 Mile Rd 102 St Clair Shores MI 48081-1116
Phone: (810) 447-5700
Fax: (810) 447-5010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301035008 Michigan

Profile Details

NPI number 1336130723
LBN Legal business name O'Campo, Manuela B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Feb 5th, 2008 - about 17 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 1336130723 NPPES
Michigan MEDICAID 2820033

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