Campbell, David Alexander

Campbell, David Alexander is an sole proprietor health care provider with primary practice located at 209 Florence Ave , Granger IN 46530-8048. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Campbell, David Alexander can be contacted via phone (574) 246-1000.

Contact Information

Primary practice address
209 Florence Ave Granger IN 46530-8048
Fax: (574) 246-4000
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 01035158A Indiana

Profile Details

NPI number 1750456026
LBN Legal business name Campbell, David Alexander
Credentials M.D., F.A.C.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 22nd, 2006
Last updated Mar 7th, 2023 - about 3 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 1750456026 NPPES
Indiana Other 000000176320 ANTHEM
Indiana MEDICAID 100204030B ANTHEM

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