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Contact Information

TIMOTHY J CAMASTA, PAC
7092 HARR AVE BLDG 6492
FORT CARSON, CO80902-2190
 Phone: 719-524-5217
 Fax: 719-526-3088
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Brain Injury Medicine

2084P0301X 86 Physician/Neuropsychiatry
 

Medical

363AM0700X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for TIMOTHY J CAMASTA · (Male)

NPI Number 1104885615
Status Active
Credentials PAC
Entity Individual
Enumeration date 03/22/2006
Last updated 11/13/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CA License # PA12294
  • CO License # 2353
  • CO License # PA2353
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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