Campbell, Jeffrey Alan

Campbell, Jeffrey Alan is an individual health care provider with primary practice located at 1804 E 10Th St , Jeffersonville IN 47130-6016. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Campbell, Jeffrey Alan can be contacted via phone (812) 288-2488.

Contact Information

Primary practice address
1804 E 10Th St Jeffersonville IN 47130-6016
Phone: (812) 288-2488
Fax: (812) 288-6603
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01036153 Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 23424 Kentucky
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 23424 Kentucky
Allopathic & Osteopathic Physicians / Addiction Medicine 207LA0401X 23424 Kentucky
Allopathic & Osteopathic Physicians / Addiction Medicine 207LA0401X 01036153A Indiana

Profile Details

NPI number 1518063585
LBN Legal business name Campbell, Jeffrey Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Mar 4th, 2016 - about 9 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 1518063585 NPPES
Indiana Other 080067815 PALMETTO
Indiana MEDICAID 100464320 PALMETTO
Indiana Other 1195507 PALMETTO
Indiana Other 000000050807 PALMETTO
Indiana Other 004272 PALMETTO
Indiana Other 1018897 PALMETTO

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