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
Fax: (740) 522-6399
Website:

Health care specialties

SpecialtyCodeLicense #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 15 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 1477533826 NPPES
Ohio MEDICAID 2488544

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