Campbell, Debra A.

Campbell, Debra A. is an sole proprietor health care provider with primary practice located at 320 Pomfret St , Putnam CT 06260-1836. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Campbell, Debra A. can be contacted via phone (860) 928-6541.

Contact Information

Primary practice address
320 Pomfret St Putnam CT 06260-1836
Fax: (860) 963-6368
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 042674 Connecticut

Profile Details

NPI number 1568436830
LBN Legal business name Campbell, Debra A.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2006
Last updated Oct 31st, 2007 - about 17 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 1568436830 NPPES
Other P00261729 RAILROAD

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