Campbell, James R

Campbell, James R is an sole proprietor health care provider with primary practice located at 510 N Elm Pl , Broken Arrow OK 74012-2539. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Campbell, James R can be contacted via phone (918) 251-1391.

Contact Information

Primary practice address
510 N Elm Pl Broken Arrow OK 74012-2539
Phone: (918) 251-1391
Fax: (918) 251-3008
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1880 Oklahoma

Profile Details

NPI number 1720091077
LBN Legal business name Campbell, James R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2006
Last updated Feb 5th, 2024 - 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 1720091077 NPPES
Oklahoma Other 731328479 TAX IDENTIFICATION NUMBER
Oklahoma Other 1880 TAX IDENTIFICATION NUMBER

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