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Camille Elizabeth Crockett

Sports Medicine

1130 Smith Fieldhouse
Provo , Utah 84602-2246

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Image

Camille Elizabeth Crockett

Sports Medicine

1130 Smith Fieldhouse
Provo , Utah 84602-2246

Write a Review Save Call

Camille Elizabeth Crockett

Sports Medicine

1130 Smith Fieldhouse
Provo , Utah 84602-2246

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Sports Medicine

Languages spoken

  • English

Location

1130 Smith Fieldhouse Provo , Utah 84602-2246

First Address

  • Camille Elizabeth Crockett
  • 1130 Smith Fieldhouse
  • Provo, UT
  • Zip : 84602-2246
  • Phone :

Second Address

  • Camille Elizabeth Crockett
  • 1130 Smith Fieldhouse
  • Provo, UT
  • Zip : 84602-2246
  • Phone : (801) 422-2946

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FAQs


Where did Camille Elizabeth Crockett attend graduate school?

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Where did Camille Elizabeth Crockett do her residency?

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Where did Camille Elizabeth Crockett do her fellowship?

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Is Camille Elizabeth Crockett board certified?

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What type of doctor is Camille Elizabeth Crockett

Sports Medicine

In what state does Camille Elizabeth Crockett practice in?

Utah

Where is Camille Elizabeth Crockett ’s practice located?

1130 Smith Fieldhouse , Provo, Utah, 84602-2246

What is Camille Elizabeth Crockett ’s gender?

Female

Is Camille Elizabeth Crockett a sole practitioner?

No

Is Camille Elizabeth Crockett accepting new patients?

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What languages does Camille Elizabeth Crockett speak?

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Does Camille Elizabeth Crockett accept insurance?

Yes, Camille Elizabeth Crockett accepts insurance

Does Camille Elizabeth Crockett offers telemedicine?

Camille Elizabeth Crockett has not indicated if she offers telemedicine

What is Camille Elizabeth Crockett ’s professional license number?

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What is Camille Elizabeth Crockett ’s NPI number?

1396393393

Does Camille Elizabeth Crockett have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 2081S0010X Sports Medicine 11395933-4810 UT
Y 213ES0000X Sports Medicine 11395933-4810 UT

National Provider Identifier

NPI 1396393393
Provider Name Camille Elizabeth Crockett
First Address Provo, UT 84602-2246
Second Address Provo, UT 84602-2246
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 03/09/2019
Last Update Date 03/09/2019

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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