Campbell, Jeanette Elaine

Campbell, Jeanette Elaine is an individual health care provider with primary practice located at 719 N 5Th St , Cottonwood AZ 86326-3708. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Campbell, Jeanette Elaine can be contacted via phone (928) 639-3700.

Contact Information

Primary practice address
719 N 5Th St Cottonwood AZ 86326-3708
Fax: (928) 223-4270
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 0515 Arizona
Other Service Providers / Acupuncturist 171100000X 10056 Arizona

Profile Details

NPI number 1811025752
LBN Legal business name Campbell, Jeanette Elaine
Credentials L.AC,DIP.OM
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Apr 12th, 2022 - about 4 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 1811025752 NPPES
Arizona Other 0515 STATE ACUPUNCTURE LICENSE

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