Campbell, Jack Warren

Campbell, Jack Warren is an individual health care provider with primary practice located at Nmcb 133 , Fpo AA 34099. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Campbell, Jack Warren can be contacted via phone (228) 871-2819.

Contact Information

Primary practice address
Nmcb 133 Fpo AA 34099
Phone: (228) 871-2819
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1780897207
LBN Legal business name Campbell, Jack Warren
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2007
Last updated Apr 20th, 2008 - about 16 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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