Campbell, Griffon
Campbell, Griffon is an individual health care provider with primary practice located at 211 Sudderth Dr , Ruidoso NM 88345-6002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Campbell, Griffon can be contacted via phone (575) 999-9999.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R13894 | New Mexico |
Profile Details
| NPI number | 1013912773 |
|---|---|
| LBN Legal business name | Campbell, Griffon |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2005 |
| Last updated | Apr 28th, 2011 - about 13 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 | 1013912773 | NPPES |
| New Mexico | MEDICAID | 85205 |
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