Campobasso, John
Campobasso, John is an individual health care provider with primary practice located at 4716 Ne Vivion Rd , Kansas City MO 64119-2932. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Campobasso, John can be contacted via phone (816) 453-1314.Contact Information
Primary practice address
4716 Ne Vivion Rd
Kansas City MO 64119-2932
Phone: (816) 453-1314
Fax: (816) 453-3434
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 32861 | Missouri |
Profile Details
| NPI number | 1730150566 |
|---|---|
| LBN Legal business name | Campobasso, John |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Oct 23rd, 2007 - about 19 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 | 1730150566 | NPPES |
| Other | 04364058 | BCBS OF KC INDIVIDUAL # |
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