Upchurch, Camille N

Upchurch, Camille N is an individual health care provider with primary practice located at 1500 Forest Glen Rd , Silver Spring MD 20910. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Upchurch, Camille N can be contacted via phone (301) 754-7991.

Contact Information

Primary practice address
1500 Forest Glen Rd Silver Spring MD 20910
Fax: (301) 754-7990
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD419533 Pennsylvania
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X C1-0009714 Delaware
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD0086315 Maryland

Profile Details

NPI number 1730186347
LBN Legal business name Upchurch, Camille N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2005
Last updated Feb 7th, 2019 - about 5 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 1730186347 NPPES
Pennsylvania MEDICAID 001917674

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