Campbell, Douglas

Campbell, Douglas is an individual health care provider with primary practice located at 825 S Waukegan Rd A1, Lake Forest IL 60045-2696. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Campbell, Douglas can be contacted via phone (847) 234-4800.

Contact Information

Primary practice address
825 S Waukegan Rd A1 Lake Forest IL 60045-2696
Fax: (847) 234-4876
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019-018258 Illinois

Profile Details

NPI number 1598138232
LBN Legal business name Campbell, Douglas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2015
Last updated Nov 3rd, 2015 - about 10 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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