Campbell, Jeanette Ellen
Campbell, Jeanette Ellen is an individual health care provider with primary practice located at 3560 N Buffalo St , Orchard Park NY 14127-1934. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Campbell, Jeanette Ellen can be contacted via phone (716) 662-8510.Contact Information
Primary practice address
3560 N Buffalo St
Orchard Park NY 14127-1934
Phone: (716) 662-8510
Fax: (716) 662-8574
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 380261 | New York |
Profile Details
NPI number | 1396700126 |
---|---|
LBN Legal business name | Campbell, Jeanette Ellen |
Credentials | Pediatric Nurse Practitioner (PNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 17th, 2006 |
Last updated | Jul 26th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1396700126 | NPPES |
New York | MEDICAID | 01026324 |
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