Campbell, Carla

Campbell, Carla is an sole proprietor health care provider with primary practice located at 39Th And Chestnut St St. Leonard'S Court, Suite 110, Philadelphia PA 19104. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Campbell, Carla can be contacted via phone (215) 590-5090.

Contact Information

Primary practice address
39Th And Chestnut St St. Leonard'S Court, Suite 110 Philadelphia PA 19104
Phone: (215) 590-5090
Fax: (215) 590-5048
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD-045435-L Pennsylvania

Profile Details

NPI number 1255352795
LBN Legal business name Campbell, Carla
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2006
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255352795 NPPES
Pennsylvania MEDICAID 1278902

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