Campbell, Mical S

Campbell, Mical S is an individual health care provider with primary practice located at Coastal Digestive Diseases 234A Bank St, New London CT 06320. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Campbell, Mical S can be contacted via phone (860) 442-0290.

Contact Information

Primary practice address
Coastal Digestive Diseases 234A Bank St New London CT 06320
Phone: (860) 442-0290
Fax: (860) 442-2136
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 044903 Connecticut

Profile Details

NPI number 1083628770
LBN Legal business name Campbell, Mical S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Dec 17th, 2012 - about 13 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 1083628770 NPPES
Pennsylvania MEDICAID 10128700

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