Campbell, John Thomas

Campbell, John Thomas is an individual health care provider with primary practice located at 4386 Trail Boss Dr Suite A, Castle Rock CO 80104-7512. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Campbell, John Thomas can be contacted via phone (303) 688-8666.

Contact Information

Primary practice address
4386 Trail Boss Dr Suite A Castle Rock CO 80104-7512
Phone: (303) 688-8666
Fax: (303) 688-8260
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 40745 Colorado

Profile Details

NPI number 1053373415
LBN Legal business name Campbell, John Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Jan 29th, 2011 - 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 1053373415 NPPES
Colorado MEDICAID 56176571

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