Campbell, Earl

Campbell, Earl is an sole proprietor health care provider with primary practice located at 4182 E 146Th St , Cleveland OH 44128-1867. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Campbell, Earl can be contacted via phone (216) 751-7567.

Contact Information

Primary practice address
4182 E 146Th St Cleveland OH 44128-1867
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 0143396 Ohio

Profile Details

NPI number 1467822056
LBN Legal business name Campbell, Earl
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2015
Last updated Sep 25th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467822056 NPPES
Ohio MEDICAID 0143396

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