Campbell, David
Campbell, David is an sole proprietor health care provider with primary practice located at 404 Holston Dr , Greeneville TN 37743-3126. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Campbell, David can be contacted via phone (423) 952-2290.Contact Information
Primary practice address
404 Holston Dr
Greeneville TN 37743-3126
Phone: (423) 952-2290
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1730330150 |
|---|---|
| LBN Legal business name | Campbell, David |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2008 |
| Last updated | Oct 3rd, 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 | 1730330150 | NPPES |
| Tennessee | MEDICAID | 3013231 | |
| Tennessee | Other | 3697678 |
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