Campbell, Garry Edward
Campbell, Garry Edward is an individual health care provider with primary practice located at 19 E Genesee St , Baldwinsville NY 13027-2501. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Campbell, Garry Edward can be contacted via phone (315) 635-5000.Contact Information
Primary practice address
19 E Genesee St
Baldwinsville NY 13027-2501
Phone: (315) 635-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 025920 | New York |
Profile Details
| NPI number | 1427158575 |
|---|---|
| LBN Legal business name | Campbell, Garry Edward |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427158575 | NPPES |
| New York | MEDICAID | 02554878 |
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