Van Camp, Joan M

Van Camp, Joan M is an individual health care provider with primary practice located at 701 Park Ave P5, Minneapolis MN 55415-1623. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Van Camp, Joan M can be contacted via phone (612) 873-2810.

Contact Information

Primary practice address
701 Park Ave P5 Minneapolis MN 55415-1623
Phone: (612) 873-2810
Fax: (612) 904-4297
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 40186 Minnesota

Profile Details

NPI number 1851333405
LBN Legal business name Van Camp, Joan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2006
Last updated Aug 29th, 2011 - about 13 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 1851333405 NPPES
Minnesota MEDICAID 223317700

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