Campbell, Indra

Campbell, Indra is an individual health care provider with primary practice located at 9050 Pines Blvd Ste 415-409 , Pembroke Pines FL 33024-6455. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Campbell, Indra can be contacted via phone (954) 272-6103.

Contact Information

Primary practice address
9050 Pines Blvd Ste 415-409 Pembroke Pines FL 33024-6455
Phone: (954) 272-6103
Fax: (954) 637-1888
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1184104689
LBN Legal business name Campbell, Indra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2018
Last updated May 23rd, 2019 - about 7 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 1184104689 NPPES
Florida MEDICAID 101133500

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