Campbell, James R

Campbell, James R is an individual health care provider with primary practice located at 1425 Portland Ave Box 238, Rochester NY 14621-3001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Campbell, James R can be contacted via phone (585) 922-2575.

Contact Information

Primary practice address
1425 Portland Ave Box 238 Rochester NY 14621-3001
Fax: (585) 922-5033
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 175224 New York

Profile Details

NPI number 1306814181
LBN Legal business name Campbell, James R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Aug 2nd, 2011 - about 13 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 1306814181 NPPES
New York MEDICAID 01156427

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