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Contact Information

CAMILLE E HARRIS, DPM
1105 E USTICK RD
CALDWELL, ID83605
 Phone: 208-402-6587
 Fax: 208-402-6578
 Website: https://podiatryservicesof4.wixsite.com/mysite
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for CAMILLE E HARRIS · (Female)

NPI # 1538164108
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/20/2005
Last updated 07/17/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • OR License # DP00359
  • ID Medicaid 807150700
  • OR Medicaid 023111
  • ID Other P00251554 RAILROAD MEDICARE
  • OR Other 4540570001 MEDICARE DMERC
  • OR Other P00251554 RAILROAD MEDICARE
  • OR Other 861141948 TAX ID
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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