Campbell, John A

Campbell, John A is an individual health care provider with primary practice located at 1221 Sixth St Ste 300 , Traverse City MI 49684-2360. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Campbell, John A can be contacted via phone (231) 392-0640.

Contact Information

Primary practice address
1221 Sixth St Ste 300 Traverse City MI 49684-2360
Phone: (231) 392-0640
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X E5233 Arkansas
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 4301111387 Michigan

Profile Details

NPI number 1427153329
LBN Legal business name Campbell, John A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Oct 26th, 2020 - about 5 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 1427153329 NPPES
Michigan MEDICAID 1427153329
Michigan MEDICAID 165079001

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