Campbell, Earl J.
Campbell, Earl J. is an individual health care provider with primary practice located at 400 W 16Th St , Pueblo CO 81003-2745. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Campbell, Earl J. can be contacted via phone (719) 584-4595.Contact Information
Primary practice address
400 W 16Th St
Pueblo CO 81003-2745
Phone: (719) 584-4595
Fax: (719) 584-4861
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 40246 | Colorado |
Profile Details
| NPI number | 1528041514 |
|---|---|
| LBN Legal business name | Campbell, Earl J. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2005 |
| Last updated | Jun 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528041514 | NPPES |
| Colorado | MEDICAID | 92605231 |
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