Campbell, John Rexford

Campbell, John Rexford is an individual health care provider with primary practice located at 315 Howell Rd , Shavertown PA 18708-9642. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Biomedical Engineering, Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other. Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other is his primary health care specialty. Campbell, John Rexford can be contacted via phone (570) 338-0128.

Contact Information

Primary practice address
315 Howell Rd Shavertown PA 18708-9642
Phone: (570) 338-0128
Fax: (570) 300-1808
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Biomedical Engineering 246ZB0301X
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other 246Z00000X ATP,RET Virginia

Profile Details

NPI number 1326217415
LBN Legal business name Campbell, John Rexford
Credentials ATP, RET
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2008
Last updated Mar 27th, 2013 - about 12 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 1326217415 NPPES
Pennsylvania MEDICAID 102086535

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