Campbell, Allen
Campbell, Allen is an individual health care provider with primary practice located at 3601 W 13 Mile Rd 400 Fsc - Pcs, Royal Oak MI 48073-6769. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Campbell, Allen can be contacted via phone (248) 423-3144.Contact Information
Primary practice address
3601 W 13 Mile Rd 400 Fsc - Pcs
Royal Oak MI 48073-6769
Phone: (248) 423-3144
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 4704195203 | Michigan |
Profile Details
| NPI number | 1376510214 |
|---|---|
| LBN Legal business name | Campbell, Allen |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Feb 22nd, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376510214 | NPPES |
| Michigan | MEDICAID | 4430888 |
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