Campbell, Laura Ivy

Campbell, Laura Ivy is an individual health care provider with primary practice located at 16 Woodbine Ln , Danville PA 17821-8029. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Campbell, Laura Ivy can be contacted via phone (570) 271-6700.

Contact Information

Primary practice address
16 Woodbine Ln Danville PA 17821-8029
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X RTO000383 Pennsylvania

Profile Details

NPI number 1790277234
LBN Legal business name Campbell, Laura Ivy
Credentials LAT, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2018
Last updated May 31st, 2018 - about 7 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 1790277234 NPPES
Pennsylvania Other 22 RESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE

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