Campbell, Carol

Campbell, Carol is an individual health care provider with primary practice located at 85 Seymour St Suite 719, Hartford CT 06106-5501. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Campbell, Carol can be contacted via phone (860) 522-0604.

Contact Information

Primary practice address
85 Seymour St Suite 719 Hartford CT 06106-5501
Fax: (860) 522-1761
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 0000936 Connecticut

Profile Details

NPI number 1689664229
LBN Legal business name Campbell, Carol
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Feb 3rd, 2010 - about 14 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 1689664229 NPPES
Connecticut Other CA7937 RAILROAD MEDICARE GROUP #
Connecticut MEDICAID 004194966 RAILROAD MEDICARE GROUP #
Connecticut Other 500022800 RAILROAD MEDICARE GROUP #

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