Campbell, Ashley Nicole

Campbell, Ashley Nicole is an individual health care provider with primary practice located at 1595 S Calumet Rd Ste 3 , Chesterton IN 46304-2389. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Campbell, Ashley Nicole can be contacted via phone (219) 764-4888.

Contact Information

Primary practice address
1595 S Calumet Rd Ste 3 Chesterton IN 46304-2389
Phone: (219) 764-4888
Fax: (219) 898-4258
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1225769466
LBN Legal business name Campbell, Ashley Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2022
Last updated Jun 20th, 2022 - about 2 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 1225769466 NPPES
Indiana MEDICAID 200196020A

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