Campbell, Austin Jay

Campbell, Austin Jay is an individual health care provider with primary practice located at 2210 Coronado St , Idaho Falls ID 83404-7552. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Campbell, Austin Jay can be contacted via phone (208) 522-3355.

Contact Information

Primary practice address
2210 Coronado St Idaho Falls ID 83404-7552
Phone: (208) 522-3355
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA-2448 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA-2448 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-2448 Idaho

Profile Details

NPI number 1134825367
LBN Legal business name Campbell, Austin Jay
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2023
Last updated Oct 7th, 2024 - about 2 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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