Campbell, Clay I.

Campbell, Clay I. is an sole proprietor health care provider with primary practice located at 8299 Mt Highway 35 , Bigfork MT 59911-3583. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Campbell, Clay I. can be contacted via phone (406) 837-5541.

Contact Information

Primary practice address
8299 Mt Highway 35 Bigfork MT 59911-3583
Fax: (406) 837-5543
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M-6065 Idaho
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 90015 Montana

Profile Details

NPI number 1952497810
LBN Legal business name Campbell, Clay I.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2006
Last updated Jun 10th, 2024 - about last year

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 1952497810 NPPES
Wyoming MEDICAID 110040800
Wyoming MEDICAID 806820000
Wyoming MEDICAID 002743700

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