Campbell, Marissa
Campbell, Marissa is an individual health care provider with primary practice located at 690 Cooper Rd Suite 101, Gilbert AZ 85233-0000. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as her primary health care specialty. Campbell, Marissa can be contacted via phone (480) 503-2100.Contact Information
Primary practice address
690 Cooper Rd Suite 101
Gilbert AZ 85233-0000
Phone: (480) 503-2100
Fax: (480) 503-2131
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 7451 | Arizona |
Profile Details
| NPI number | 1104999408 |
|---|---|
| LBN Legal business name | Campbell, Marissa |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2006 |
| Last updated | Mar 12th, 2018 - about 8 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 | 1104999408 | NPPES |
| Arizona | Other | 64890 | MEDICARE GROUP NUMBER |
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