Campbell, Ruth K

Campbell, Ruth K is an sole proprietor health care provider with primary practice located at 500 W Fort St , Boise ID 83702-4501. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Campbell, Ruth K can be contacted via phone (208) 422-1326.

Contact Information

Primary practice address
500 W Fort St Boise ID 83702-4501
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP-435A Idaho

Profile Details

NPI number 1669562716
LBN Legal business name Campbell, Ruth K
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2006
Last updated Sep 15th, 2022 - about 3 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 1669562716 NPPES
Idaho MEDICAID 806145400

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