Campbell, Jack Griffin

Campbell, Jack Griffin is an individual health care provider with primary practice located at One Hospital Dr , Columbia MO 65212-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Campbell, Jack Griffin can be contacted via phone (573) 882-6500.

Contact Information

Primary practice address
One Hospital Dr Columbia MO 65212-0001
Phone: (573) 882-6500
Fax: (573) 884-7453
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 287075 Massachusetts
Allopathic & Osteopathic Physicians / Urology 208800000X 2022018059 Missouri

Profile Details

NPI number 1649633736
LBN Legal business name Campbell, Jack Griffin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2016
Last updated Jun 8th, 2023 - about last year

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 1649633736 NPPES
Missouri MEDICAID 200049275

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