Campbell, Samuel J.
Campbell, Samuel J. is an individual health care provider with primary practice located at 3601 4Th St , Lubbock TX 79430-8312. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Campbell, Samuel J. can be contacted via phone (806) 743-2373.Contact Information
Primary practice address
3601 4Th St
Lubbock TX 79430-8312
Phone: (806) 743-2373
Fax: (806) 743-4354
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | G3209 | Texas |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | G3209 | Texas |
Profile Details
| NPI number | 1528033446 |
|---|---|
| LBN Legal business name | Campbell, Samuel J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Feb 17th, 2014 - about 12 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 | 1528033446 | NPPES |
| Texas | MEDICAID | 203805833 | |
| Texas | MEDICAID | 132904708 |
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