Campbell, Larry David

Campbell, Larry David is an sole proprietor health care provider with primary practice located at 996 W 800 S , Payson UT 84651-2766. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Campbell, Larry David can be contacted via phone (801) 465-5111.

Contact Information

Primary practice address
996 W 800 S Payson UT 84651-2766
Phone: (801) 465-5111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 110097539-6018 Utah

Profile Details

NPI number 1356993158
LBN Legal business name Campbell, Larry David
Credentials SUDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2019
Last updated Jul 11th, 2019 - about 6 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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