Campbell, Jacob Dale

Campbell, Jacob Dale is an individual health care provider with primary practice located at Uconn School Of Medicine Dept Of Surgery 263 Farmington Ave, Farmington CT 06030-3955. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is his primary health care specialty. Campbell, Jacob Dale can be contacted via phone (860) 679-2147.

Contact Information

Primary practice address
Uconn School Of Medicine Dept Of Surgery 263 Farmington Ave Farmington CT 06030-3955
Phone: (860) 679-2147
Fax: (860) 679-4624
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 75461 Connecticut

Profile Details

NPI number 1811301377
LBN Legal business name Campbell, Jacob Dale
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2014
Last updated Nov 20th, 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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