Campbell, Willard B.

Campbell, Willard B. is an individual health care provider with primary practice located at 9430 Park West Blvd Ste 310 , Knoxville TN 37923-4203. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Campbell, Willard B. can be contacted via phone (865) 690-5263.

Contact Information

Primary practice address
9430 Park West Blvd Ste 310 Knoxville TN 37923-4203
Phone: (865) 690-5263
Fax: (865) 588-3740
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD23441 Tennessee
Allopathic & Osteopathic Physicians / Surgery 208600000X MD 23441 Tennessee

Profile Details

NPI number 1306954490
LBN Legal business name Campbell, Willard B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2006
Last updated Jul 26th, 2019 - about 7 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 1306954490 NPPES
Tennessee MEDICAID 3066269

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