Campbell, Mary Elizabeth
Campbell, Mary Elizabeth is an individual health care provider with primary practice located at 6913 N Main St Ste 300 , Granger IN 46530-8039. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Campbell, Mary Elizabeth can be contacted via phone (574) 647-1500.Contact Information
Primary practice address
6913 N Main St Ste 300
Granger IN 46530-8039
Phone: (574) 647-1500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01086350A | Indiana |
Profile Details
| NPI number | 1942799838 |
|---|---|
| LBN Legal business name | Campbell, Mary Elizabeth |
| Credentials | MD, MPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 6th, 2018 |
| Last updated | Nov 15th, 2023 - about 3 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 | 1942799838 | NPPES |
| Indiana | MEDICAID | 01086350A |
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