Campbell, Clovene P

Campbell, Clovene P is an individual health care provider with primary practice located at 72 Highland Ave Pediatric Associates Of Greater Salem, Salem MA 01970-2738. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Campbell, Clovene P can be contacted via phone (978) 745-3050.

Contact Information

Primary practice address
72 Highland Ave Pediatric Associates Of Greater Salem Salem MA 01970-2738
Phone: (978) 745-3050
Fax: (978) 745-7014
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 210231 Massachusetts

Profile Details

NPI number 1801868781
LBN Legal business name Campbell, Clovene P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Dec 28th, 2012 - about 12 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 1801868781 NPPES
Other J25311 BS
Other 210231 BS
MEDICAID 0198382 BS

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