Campagna-Gibson, Mary L.

Campagna-Gibson, Mary L. is an individual health care provider with primary practice located at 6308 8Th Ave Suite 2000, Kenosha WI 53143-5031. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Campagna-Gibson, Mary L. can be contacted via phone (262) 653-5300.

Contact Information

Primary practice address
6308 8Th Ave Suite 2000 Kenosha WI 53143-5031
Phone: (262) 653-5300
Fax: (262) 653-5412
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 2008-01613 North Carolina

Profile Details

NPI number 1629258132
LBN Legal business name Campagna-Gibson, Mary L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2007
Last updated Feb 18th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629258132 NPPES
South Carolina MEDICAID N0161G
South Carolina MEDICAID 1629258132
South Carolina MEDICAID 5911767

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