Campbell, Adam T

Campbell, Adam T is an individual health care provider with primary practice located at 33-57 Harrison St , Johnson City NY 13790-2107. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Campbell, Adam T can be contacted via phone (607) 763-6412.

Contact Information

Primary practice address
33-57 Harrison St Johnson City NY 13790-2107
Phone: (607) 763-6412
Fax: (607) 763-5854
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 012185 New York

Profile Details

NPI number 1982883005
LBN Legal business name Campbell, Adam T
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2007
Last updated Dec 28th, 2011 - about 13 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 1982883005 NPPES
New York MEDICAID 03061878

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