Campbell, Nedson John
Campbell, Nedson John is an individual health care provider with primary practice located at 71 Haynes St , Manchester CT 06040-4131. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Campbell, Nedson John can be contacted via phone (860) 533-3434.Contact Information
Primary practice address
71 Haynes St
Manchester CT 06040-4131
Phone: (860) 533-3434
Fax: (860) 647-6829
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Psychiatry | 2084P0802X | 050231 | Connecticut |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 050231 | Connecticut |
Profile Details
| NPI number | 1366676470 |
|---|---|
| LBN Legal business name | Campbell, Nedson John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2009 |
| Last updated | Feb 9th, 2015 - about 11 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 | 1366676470 | NPPES |
| Connecticut | MEDICAID | 004041000 | |
| Connecticut | MEDICAID | 008003745 | |
| Connecticut | MEDICAID | 008042339 | |
| Connecticut | Other | D400092056 | |
| Connecticut | MEDICAID | 008022622 | |
| Connecticut | MEDICAID | 008045321 | |
| Connecticut | MEDICAID | 004082260 | |
| Connecticut | MEDICAID | 008022626 | |
| Connecticut | Other | C01033 | |
| Connecticut | MEDICAID | 004217099 | |
| Connecticut | MEDICAID | 008001325 | |
| Connecticut | MEDICAID | 008023170 | |
| Connecticut | MEDICAID | 008024427 | |
| Connecticut | MEDICAID | 004025177 | |
| Connecticut | MEDICAID | 004082286 | |
| Connecticut | MEDICAID | 008039745 | |
| Connecticut | MEDICAID | 500000315 |
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