Campbell, Joshua Clark
Campbell, Joshua Clark is an sole proprietor health care provider with primary practice located at 3580 Joseph Siewick Dr Ste 105 , Fairfax VA 22033-1764. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Campbell, Joshua Clark can be contacted via phone (703) 970-6464.Contact Information
Primary practice address
3580 Joseph Siewick Dr Ste 105
Fairfax VA 22033-1764
Phone: (703) 970-6464
Fax: (703) 970-6565
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | MD047881 | District of Columbia |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 0101275083 | Virginia |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | D83628 | Maryland |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | A130780 | California |
Profile Details
| NPI number | 1437564150 |
|---|---|
| LBN Legal business name | Campbell, Joshua Clark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2014 |
| Last updated | Aug 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437564150 | NPPES |
| Maryland | Other | D83628 | MARYLAND MEDICAL LICENSE |
| Maryland | Other | A130780 | MARYLAND MEDICAL LICENSE |
| Maryland | Other | MD047881 | MARYLAND MEDICAL LICENSE |
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