Campbell, Bradley David
Campbell, Bradley David is an individual health care provider with primary practice located at 1040 Delaware Ave , Marion OH 43302-6416. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Campbell, Bradley David can be contacted via phone (740) 383-8080.Contact Information
Primary practice address
1040 Delaware Ave
Marion OH 43302-6416
Phone: (740) 383-8080
Fax: (740) 383-8084
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 71966 | Ohio |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 35.071966 | Ohio |
Profile Details
| NPI number | 1992778914 |
|---|---|
| LBN Legal business name | Campbell, Bradley David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2006 |
| Last updated | May 1st, 2024 - about last year |
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 | 1992778914 | NPPES |
| Ohio | Other | 865016 | AETNA |
| Ohio | Other | 4758162-002 | AETNA |
| Ohio | Other | 000000121160 | AETNA |
| Ohio | Other | 0701563 | AETNA |
| Ohio | MEDICAID | 2000800 | AETNA |
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