Campbell, Robert S

Campbell, Robert S is an individual health care provider with primary practice located at 12207 Pecos St #300, Westminster CO 80031-3400. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Campbell, Robert S can be contacted via phone (303) 650-0445.

Contact Information

Primary practice address
12207 Pecos St #300 Westminster CO 80031-3400
Phone: (303) 650-0445
Fax: (303) 429-5088
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 46 Colorado

Profile Details

NPI number 1215953310
LBN Legal business name Campbell, Robert S
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Feb 24th, 2010 - about 15 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 1215953310 NPPES
Colorado Other C811604 MEDICARE GROUP NUMBER
Colorado Other 011500 MEDICARE GROUP NUMBER
Colorado Other 348308 MEDICARE GROUP NUMBER
Colorado MEDICAID 98579274 MEDICARE GROUP NUMBER

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