Campbell, Charlton Carlyle

Campbell, Charlton Carlyle is an sole proprietor health care provider with primary practice located at 330 Moss St , Chula Vista CA 91911-2005. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Campbell, Charlton Carlyle can be contacted via phone (619) 585-4221.

Contact Information

Primary practice address
330 Moss St Chula Vista CA 91911-2005
Phone: (619) 585-4221
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1285211029
LBN Legal business name Campbell, Charlton Carlyle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2021
Last updated Mar 26th, 2021 - about 4 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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