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
Phone: (847) 234-4800
Fax: (847) 234-4876
Website:
Health care specialties
Specialty | Code | License # | 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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