National Provider Identifier Database

KEVIN A CACCAMO
Private Vehicle

An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.


Contact Information

KEVIN A CACCAMO
5137 E 1100 S # 2
KEYSTONE, IN46759-9752
Phone: 260-346-2961
Fax: 260-346-2961
Website:
Specialty Taxonomy Code
* Private Vehicle 347C00000X

* Indicates primary specialty

NPI Profile & details for KEVIN A CACCAMO

NPI Number 1720417397
Credentials
Entity Individual
Enumeration date 11/04/2013
Last updated 11/04/2013 - About 13 years ago
Sole proprietor1 Yes
Identifiers
  • IN License #: 8926571882
  • IN Medicaid: 201167230A
Hospital affiliation n/a

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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