Provider Demographics
NPI:1356343826
Name:CAMIRE, JOSEPH CHESTER FRANCIS (DO)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:CHESTER FRANCIS
Last Name:CAMIRE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:110 S 2ND ST
Mailing Address - Street 2:
Mailing Address - City:ELLINGTON
Mailing Address - State:MO
Mailing Address - Zip Code:63638-9400
Mailing Address - Country:US
Mailing Address - Phone:573-663-2313
Mailing Address - Fax:573-663-2441
Practice Address - Street 1:17959 MAIN STREET
Practice Address - Street 2:
Practice Address - City:EMINENCE
Practice Address - State:MO
Practice Address - Zip Code:65466
Practice Address - Country:US
Practice Address - Phone:573-226-5505
Practice Address - Fax:573-226-5584
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO112624207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2448884710Medicaid
MO2448884710Medicaid
MO0010013898Medicare NSC