Campbell, Solomon

Campbell, Solomon is an sole proprietor health care provider with primary practice located at 209 N State St , Orem UT 84057-4745. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Campbell, Solomon can be contacted via phone (801) 224-4799.

Contact Information

Primary practice address
209 N State St Orem UT 84057-4745
Fax: (801) 434-4051
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 8706878-9934 Utah
Eye and Vision Services Providers / Optometrist 152W00000X NV 759 Nevada

Profile Details

NPI number 1033457494
LBN Legal business name Campbell, Solomon
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2013
Last updated Jan 5th, 2021 - about 5 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 1033457494 NPPES
Utah MEDICAID 1033457494

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