Campbell, Christy Grace

Campbell, Christy Grace is an sole proprietor health care provider with primary practice located at 5110 Lackey Road Kp N , Vaughn WA 98394-9663. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Campbell, Christy Grace can be contacted via phone (253) 884-2144.

Contact Information

Primary practice address
5110 Lackey Road Kp N Vaughn WA 98394-9663
Fax: (253) 884-5293
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X MA00013232 Washington

Profile Details

NPI number 1710192687
LBN Legal business name Campbell, Christy Grace
Credentials LMP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 13th, 2007
Last updated Feb 12th, 2015 - about 11 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 1710192687 NPPES
Washington Other 1047CA REGENCEBLUESHIELD
Washington Other 0131876 REGENCEBLUESHIELD

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