Campbell, John

Campbell, John is an individual health care provider with primary practice located at 700 E Marshall Ave , Longview TX 75601-5580. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Campbell, John can be contacted via phone (903) 315-2072.

Contact Information

Primary practice address
700 E Marshall Ave Longview TX 75601-5580
Phone: (903) 315-2072
Fax: (903) 247-0222
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X K6754 Texas

Profile Details

NPI number 1689631285
LBN Legal business name Campbell, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Apr 30th, 2024 - about 2 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 1689631285 NPPES
Texas Other 120535 CHIP PROGRAM
Texas Other MDK6754 CHIP PROGRAM
Texas MEDICAID 157336201 CHIP PROGRAM
Texas Other P00048098 CHIP PROGRAM
Texas Other 8H0680 CHIP PROGRAM
Texas Other 157336201 CHIP PROGRAM
Texas Other 752961826A008 CHIP PROGRAM

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