Individual
CAROLINA OCAMPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3100 45TH ST, SUITE 3, HIGHLAND, IN 46322-3289
(219) 922-6911
Mailing address
3100 45TH ST, SUITE 3, HIGHLAND, IN 46322-3289
(219) 922-6911
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01058122A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200518840
—
IN
01
—
90001215
BLUE SHIELD
IL
Enumeration date
05/16/2007
Last updated
03/18/2008
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