Campbell, Anntoinette

Campbell, Anntoinette is an sole proprietor health care provider with primary practice located at 7555 Beach Blvd Ste 200 , Jacksonville FL 32216-3003. She recently has only one registered license in Agencies / Hospice Care, Community Based, which is considered as her primary health care specialty. Campbell, Anntoinette can be contacted via phone (904) 996-7587.

Contact Information

Primary practice address
7555 Beach Blvd Ste 200 Jacksonville FL 32216-3003
Fax: (904) 996-7591
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X

Profile Details

NPI number 1144459421
LBN Legal business name Campbell, Anntoinette
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2009
Last updated Jul 9th, 2009 - about 16 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 1144459421 NPPES
Florida MEDICAID 693325496
Florida Other 230925

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