Campbell, Chris

Campbell, Chris is an individual health care provider with primary practice located at 1665 Kingsley Ave Suite 105, Orange Park FL 32073-4490. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Campbell, Chris can be contacted via phone (904) 215-7015.

Contact Information

Primary practice address
1665 Kingsley Ave Suite 105 Orange Park FL 32073-4490
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME49692 Florida

Profile Details

NPI number 1346242948
LBN Legal business name Campbell, Chris
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Jun 1st, 2016 - about 8 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 1346242948 NPPES
Florida MEDICAID 300431700

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