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:
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Health care specialties

SpecialtyCodeLicense #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 7 months 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 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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