Campbell, Heidi Diane

Campbell, Heidi Diane is an individual health care provider with primary practice located at 865 W Lake Dr , Mount Airy NC 27030-2102. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Campbell, Heidi Diane can be contacted via phone (336) 719-6100.

Contact Information

Primary practice address
865 W Lake Dr Mount Airy NC 27030-2102
Phone: (336) 719-6100
Fax: (336) 719-2313
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 104022 North Carolina

Profile Details

NPI number 1336229061
LBN Legal business name Campbell, Heidi Diane
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Mar 7th, 2023 - about 2 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 1336229061 NPPES
North Carolina Other P00457713 RAILROAD MEDICARE

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