Campbell, Elena M

Campbell, Elena M is an individual health care provider with primary practice located at 1014 Saint Clair Blvd Suite 3000, Gonzales LA 70737-5023. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is her primary health care specialty. Campbell, Elena M can be contacted via phone (225) 647-8511.

Contact Information

Primary practice address
1014 Saint Clair Blvd Suite 3000 Gonzales LA 70737-5023
Phone: (225) 647-8511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Urology 208800000X MD60345464 Washington

Profile Details

NPI number 1932376332
LBN Legal business name Campbell, Elena M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2008
Last updated Oct 31st, 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 1932376332 NPPES
Louisiana MEDICAID 1065072
Louisiana Other MD60345464

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