Campbell, Douglas Martin

Campbell, Douglas Martin is an individual health care provider with primary practice located at 1861 Wadsworth Blvd , Lakewood CO 80214-5225. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Campbell, Douglas Martin can be contacted via phone (303) 237-5401.

Contact Information

Primary practice address
1861 Wadsworth Blvd Lakewood CO 80214-5225
Phone: (303) 237-5401
Fax: (303) 237-9638
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 28726 Colorado
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 28726 Colorado

Profile Details

NPI number 1043219066
LBN Legal business name Campbell, Douglas Martin
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Sep 6th, 2020 - about 6 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 1043219066 NPPES
Colorado Other CA02292 BC/BS
Colorado Other AMISR5601 BC/BS
Colorado Other 815434 BC/BS
Colorado MEDICAID 01287267 BC/BS
Colorado Other 180007125 BC/BS

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