Campbell, David R
Campbell, David R is an sole proprietor health care provider with primary practice located at 110 Francis St Suite 5C, Boston MA 02215-5501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Campbell, David R can be contacted via phone (617) 632-9848.Contact Information
Primary practice address
110 Francis St Suite 5C
Boston MA 02215-5501
Phone: (617) 632-9848
Fax: (617) 632-7794
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 39971 | Massachusetts |
Profile Details
| NPI number | 1225020977 |
|---|---|
| LBN Legal business name | Campbell, David R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 18th, 2005 |
| Last updated | Mar 30th, 2009 - about 15 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 | 1225020977 | NPPES |
| Massachusetts | MEDICAID | 0194964 |
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