Campbell, Andre Renay

Campbell, Andre Renay is an individual health care provider with primary practice located at 1001 Potrero Ave Rm 3A37, San Francisco CA 94110-3518. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Campbell, Andre Renay can be contacted via phone (415) 206-4634.

Contact Information

Primary practice address
1001 Potrero Ave Rm 3A37 San Francisco CA 94110-3518
Phone: (415) 206-4634
Fax: (415) 206-5484
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G77365 California
Allopathic & Osteopathic Physicians / Surgery 208600000X G77365 California
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X G77365 California

Profile Details

NPI number 1306891064
LBN Legal business name Campbell, Andre Renay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Jul 8th, 2007 - about 18 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 1306891064 NPPES
California MEDICAID 00G773650

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