Campbell, Andrea
Campbell, Andrea is an individual health care provider with primary practice located at 2617 General Pershing Blvd , Oklahoma City OK 73107-6437. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Campbell, Andrea can be contacted via phone (405) 858-2700.Contact Information
Primary practice address
2617 General Pershing Blvd
Oklahoma City OK 73107-6437
Phone: (405) 858-2700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1679237366 |
|---|---|
| LBN Legal business name | Campbell, Andrea |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 28th, 2021 |
| Last updated | Oct 28th, 2021 - about 4 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 | 1679237366 | NPPES |
| Oklahoma | Other | D082252630 | DRIVER LICENSE |
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