Storm, Scott Camburn
Storm, Scott Camburn is an individual health care provider with primary practice located at 3551 Roger Brooke Dr , Fort Sam Houston TX 78234-4504. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Storm, Scott Camburn can be contacted via phone (210) 539-9582.Contact Information
Primary practice address
3551 Roger Brooke Dr
Fort Sam Houston TX 78234-4504
Phone: (210) 539-9582
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 33327 | Texas |
Profile Details
NPI number | 1013002336 |
---|---|
LBN Legal business name | Storm, Scott Camburn |
Credentials | PSYD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 3rd, 2006 |
Last updated | May 30th, 2023 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1013002336 | NPPES |
Texas | MEDICAID | 2114-03502 | |
Texas | Other | 11766955 |
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