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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205820412 NPPES
California MEDICAID 00G134870

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