Campbell, Jeremy
Campbell, Jeremy is an individual health care provider with primary practice located at 1930 Tamarack Rd , Newark OH 43055-2303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Campbell, Jeremy can be contacted via phone (740) 522-7600.Contact Information
Primary practice address
1930 Tamarack Rd
Newark OH 43055-2303
Phone: (740) 522-7600
Fax: (740) 522-6399
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34007871 | Ohio |
Profile Details
NPI number | 1477533826 |
---|---|
LBN Legal business name | Campbell, Jeremy |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 20th, 2006 |
Last updated | Dec 14th, 2009 - about 16 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 | 1477533826 | NPPES |
Ohio | MEDICAID | 2488544 |
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