Campbell, David R
Campbell, David R is an individual health care provider with primary practice located at 215 S Power Rd 114, Mesa AZ 85206-5235. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Campbell, David R can be contacted via phone (480) 981-1022.Contact Information
Primary practice address
215 S Power Rd 114
Mesa AZ 85206-5235
Phone: (480) 981-1022
Fax: (480) 981-1405
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LISAC11711 | Arizona |
Profile Details
| NPI number | 1952424889 |
|---|---|
| LBN Legal business name | Campbell, David R |
| Credentials | LISAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2007 |
| Last updated | Jun 25th, 2010 - about 15 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 | 1952424889 | NPPES |
| Arizona | MEDICAID | 942335 |
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