Campbell, John T

Campbell, John T is an individual health care provider with primary practice located at 411 Lincoln St , Neenah WI 54956-2753. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Campbell, John T can be contacted via phone (920) 727-4233.

Contact Information

Primary practice address
411 Lincoln St Neenah WI 54956-2753
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 17940 Wisconsin

Profile Details

NPI number 1407840267
LBN Legal business name Campbell, John T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Jul 8th, 2007 - about 17 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 1407840267 NPPES
Wisconsin MEDICAID 31241200

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