Campbell, Donald A

Campbell, Donald A is an individual health care provider with primary practice located at 11270 E 13 Mile Rd Suite 4, Warren MI 48093-2599. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Campbell, Donald A can be contacted via phone (586) 574-0630.

Contact Information

Primary practice address
11270 E 13 Mile Rd Suite 4 Warren MI 48093-2599
Phone: (586) 574-0630
Fax: (586) 574-0636
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301046758 Michigan

Profile Details

NPI number 1740281997
LBN Legal business name Campbell, Donald A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Apr 30th, 2014 - about 12 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 1740281997 NPPES
Michigan Other 700E031610 BCBSM GROUP NUMBER
Michigan Other 0500014 BCBSM GROUP NUMBER

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