Campbell, Johnny

Campbell, Johnny is an individual health care provider with primary practice located at 224 W D. L. Ingram Avenue, Bldg. 1408 , Cannon Afb NM 88103. He 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 / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Campbell, Johnny can be contacted via phone (575) 904-3848.

Contact Information

Primary practice address
224 W D. L. Ingram Avenue, Bldg. 1408 Cannon Afb NM 88103
Phone: (575) 904-3848
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 / Family Medicine 207Q00000X 329391 Louisiana

Profile Details

NPI number 1811458896
LBN Legal business name Campbell, Johnny
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2019
Last updated Feb 5th, 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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