Campbell, Craig Alan
Campbell, Craig Alan is an sole proprietor health care provider with primary practice located at 555 Petaluma Ave Ste B, Sebastopol CA 95472-4224. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Campbell, Craig Alan can be contacted via phone (707) 823-7602.Contact Information
Primary practice address
555 Petaluma Ave Ste B
Sebastopol CA 95472-4224
Phone: (707) 823-7602
Fax: (707) 823-7625
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | G13487 | California |
Profile Details
| NPI number | 1205820412 |
|---|---|
| LBN Legal business name | Campbell, Craig Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 1st, 2005 |
| Last updated | Jan 31st, 2008 - about 16 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 | 1205820412 | NPPES |
| California | MEDICAID | 00G134870 |
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