Campbell, John N
Campbell, John N is an sole proprietor health care provider with primary practice located at 1676 Viewpond Dr Se Suite 100A, Kentwood MI 49508-4994. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Campbell, John N can be contacted via phone (616) 455-9450.Contact Information
Primary practice address
1676 Viewpond Dr Se Suite 100A
Kentwood MI 49508-4994
Phone: (616) 455-9450
Fax: (616) 455-5221
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 034105 | Michigan |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | 4301034105 | Michigan |
Profile Details
| NPI number | 1417901232 |
|---|---|
| LBN Legal business name | Campbell, John N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 19th, 2006 |
| Last updated | Jun 23rd, 2021 - about 4 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 | 1417901232 | NPPES |
| Other | 1598853608 | GROUP NPI | |
| MEDICAID | 1076881 | GROUP NPI | |
| Other | 382161547 | GROUP NPI |
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