Campbell, Matthew
Campbell, Matthew is an individual health care provider with primary practice located at 2300 Western Ave , Manitowoc WI 54220-3712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Campbell, Matthew can be contacted via phone (920) 320-3165.Contact Information
Primary practice address
2300 Western Ave
Manitowoc WI 54220-3712
Phone: (920) 320-3165
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 51519 | Wisconsin |
Profile Details
| NPI number | 1821030859 |
|---|---|
| LBN Legal business name | Campbell, Matthew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Feb 1st, 2012 - about 14 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 | 1821030859 | NPPES |
| Wisconsin | Other | 1821030859 | BCBS |
| Wisconsin | Other | P00688641 | BCBS |
| Wisconsin | MEDICAID | 208600000X | BCBS |
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