Campbell, Craig John

Campbell, Craig John is an individual health care provider with primary practice located at 827 Forest Ave , Staten Island NY 10310-2410. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Campbell, Craig John can be contacted via phone (718) 981-5098.

Contact Information

Primary practice address
827 Forest Ave Staten Island NY 10310-2410
Phone: (718) 981-5098
Fax: (718) 981-6792
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X N004711-1 New York

Profile Details

NPI number 1295712404
LBN Legal business name Campbell, Craig John
Credentials DPM PC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Feb 7th, 2014 - about 11 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 1295712404 NPPES
New York MEDICAID 01232493

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