Provider Demographics
NPI:1417443524
Name:C.A.M. INC
Entity Type:Organization
Organization Name:C.A.M. INC
Other - Org Name:JOHN EDWARDS SALON & DAY SPA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DE ANNA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:TWIGG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-291-7022
Mailing Address - Street 1:1008 LINCOLN RD
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68005-2362
Mailing Address - Country:US
Mailing Address - Phone:402-291-7022
Mailing Address - Fax:402-932-4271
Practice Address - Street 1:1008 LINCOLN RD
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68005-2362
Practice Address - Country:US
Practice Address - Phone:402-291-7022
Practice Address - Fax:402-932-4271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-02
Last Update Date:2018-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1825225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty