Campbell, Jacquelyn

Campbell, Jacquelyn is an sole proprietor health care provider with primary practice located at 701 Park Ave , Minneapolis MN 55415-1623. She 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 / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Campbell, Jacquelyn can be contacted via phone (612) 873-3000.

Contact Information

Primary practice address
701 Park Ave Minneapolis MN 55415-1623
Phone: (612) 873-3000
Fax:
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 / Pediatrics 208000000X 61431 Minnesota

Profile Details

NPI number 1861812505
LBN Legal business name Campbell, Jacquelyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2014
Last updated Mar 17th, 2018 - about 8 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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