Campbell, Carrie Ann
Campbell, Carrie Ann is an individual health care provider with primary practice located at 2047 Niles Rd , Saint Joseph MI 49085-2505. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Campbell, Carrie Ann can be contacted via phone (269) 983-3200.Contact Information
Primary practice address
2047 Niles Rd
Saint Joseph MI 49085-2505
Phone: (269) 983-3200
Fax: (269) 983-4902
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4901004349 | Michigan |
Profile Details
| NPI number | 1619030947 |
|---|---|
| LBN Legal business name | Campbell, Carrie Ann |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Jan 7th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619030947 | NPPES |
| Michigan | Other | 20065 | MES |
| Michigan | Other | 928360 | MES |
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