Campbell, Brian Matthew

Campbell, Brian Matthew is an sole proprietor health care provider with primary practice located at 405 Waymont Ct Suite 111, Lake Mary FL 32746-3586. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Campbell, Brian Matthew can be contacted via phone (407) 322-6868.

Contact Information

Primary practice address
405 Waymont Ct Suite 111 Lake Mary FL 32746-3586
Phone: (407) 322-6868
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY0004142 Florida

Profile Details

NPI number 1093863466
LBN Legal business name Campbell, Brian Matthew
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2007
Last updated Jul 8th, 2007 - about 17 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 1093863466 NPPES
Florida Other 0005337111 AETNA PIN BRIAN CAMPBELL
Florida Other 1467491829 AETNA PIN BRIAN CAMPBELL
Florida Other 73535 AETNA PIN BRIAN CAMPBELL
Florida Other 053111 AETNA PIN BRIAN CAMPBELL

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