Campbell, Eric J

Campbell, Eric J is an individual health care provider with primary practice located at 1701 S Renaissance Blvd Suite 110, Edmond OK 73013-3084. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Campbell, Eric J can be contacted via phone (405) 844-4978.

Contact Information

Primary practice address
1701 S Renaissance Blvd Suite 110 Edmond OK 73013-3084
Phone: (405) 844-4978
Fax: (405) 844-0562
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 821 Oklahoma

Profile Details

NPI number 1861482887
LBN Legal business name Campbell, Eric J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Oct 14th, 2013 - about 12 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 1861482887 NPPES
Oklahoma MEDICAID 100138410B

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