Campbell, Eric J

Campbell, Eric J is an individual health care provider with primary practice located at 17937 N Pennsylvania Ave Ste 201 , Edmond OK 73012-9001. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Campbell, Eric J can be contacted via phone (405) 260-8605.

Contact Information

Primary practice address
17937 N Pennsylvania Ave Ste 201 Edmond OK 73012-9001
Phone: (405) 260-8605
Fax: (405) 369-9310
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1861482887
LBN Legal business name Campbell, Eric J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Apr 23rd, 2025 - about last year

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 1861482887 NPPES
Oklahoma MEDICAID 100138410B

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