Campbell, Matthew J

Campbell, Matthew J is an sole proprietor health care provider with primary practice located at 405 Momany Dr , Saint Joseph MI 49085-2178. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Campbell, Matthew J can be contacted via phone (269) 928-1947.

Contact Information

Primary practice address
405 Momany Dr Saint Joseph MI 49085-2178
Phone: (269) 928-1947
Fax: (269) 982-1950
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301080141 Michigan

Profile Details

NPI number 1043284367
LBN Legal business name Campbell, Matthew J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2006
Last updated Mar 7th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043284367 NPPES
Michigan MEDICAID 444169410
Michigan Other 080191091

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