Campbell, Alan Carl
Campbell, Alan Carl is an individual health care provider with primary practice located at 2222 W 12Th Ave , Stillwater OK 74074-5154. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Counseling is his primary health care specialty. Campbell, Alan Carl can be contacted via phone (405) 372-1988.Contact Information
Primary practice address
2222 W 12Th Ave
Stillwater OK 74074-5154
Phone: (405) 372-1988
Fax: (405) 624-1988
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 589 | Oklahoma |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 652 | Oklahoma |
Profile Details
| NPI number | 1083716641 |
|---|---|
| LBN Legal business name | Campbell, Alan Carl |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 3rd, 2006 |
| Last updated | Jul 8th, 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 | 1083716641 | NPPES |
| Oklahoma | MEDICAID | 100841380A |
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