Campbell, David Wayne

Campbell, David Wayne is an individual health care provider with primary practice located at 1505 E Main St , Stigler OK 74462-2913. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Campbell, David Wayne can be contacted via phone (918) 967-3368.

Contact Information

Primary practice address
1505 E Main St Stigler OK 74462-2913
Phone: (918) 967-3368
Fax: (918) 967-4582
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 4465 Oklahoma
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4465 Oklahoma

Profile Details

NPI number 1326184623
LBN Legal business name Campbell, David Wayne
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Sep 6th, 2012 - about 13 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 1326184623 NPPES
Oklahoma MEDICAID 2001104100A

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