Campbell, Dea Denise

Campbell, Dea Denise is an individual health care provider with primary practice located at 417 Park Ln , Chillicothe MO 64601-1550. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Campbell, Dea Denise can be contacted via phone (660) 646-3400.

Contact Information

Primary practice address
417 Park Ln Chillicothe MO 64601-1550
Phone: (660) 646-3400
Fax: (660) 646-3410
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 108529 Missouri

Profile Details

NPI number 1275538324
LBN Legal business name Campbell, Dea Denise
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Apr 7th, 2009 - about 17 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 1275538324 NPPES
Missouri MEDICAID 249792037
Missouri MEDICAID 596074500

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