Campbell, Dolores L.

Campbell, Dolores L. is an individual health care provider with primary practice located at 1 Otsego St , Port Jefferson Station NY 11776-4405. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Campbell, Dolores L. can be contacted via phone (631) 473-7045.

Contact Information

Primary practice address
1 Otsego St Port Jefferson Station NY 11776-4405
Phone: (631) 473-7045
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 1206 New York

Profile Details

NPI number 1831364777
LBN Legal business name Campbell, Dolores L.
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2008
Last updated Apr 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831364777 NPPES
New York MEDICAID 02100241

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