Campbell, Amanda
Campbell, Amanda is an sole proprietor health care provider with primary practice located at 3801 Johnson Mill Blvd Ste B , Fayetteville AR 72704-6364. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Campbell, Amanda can be contacted via phone (479) 856-6400.Contact Information
Primary practice address
3801 Johnson Mill Blvd Ste B
Fayetteville AR 72704-6364
Phone: (479) 856-6400
Fax: (479) 856-6623
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | O-T1409 | Arkansas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | OTR2702 | Arkansas |
Profile Details
| NPI number | 1366860728 |
|---|---|
| LBN Legal business name | Campbell, Amanda |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 2nd, 2014 |
| Last updated | Jul 7th, 2021 - about 3 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 | 1366860728 | NPPES |
| Arkansas | Other | OTR2707 | ARKANSAS STATE MEDICAL BOARD |
| Arkansas | MEDICAID | 202225721 | ARKANSAS STATE MEDICAL BOARD |
| Arkansas | Other | O-T1409 | ARKANSAS STATE MEDICAL BOARD |
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