Campbell, Lawrence D.

Campbell, Lawrence D. is an sole proprietor health care provider with primary practice located at 32 E Main St , Bay Shore NY 11706-8301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Campbell, Lawrence D. can be contacted via phone (631) 969-9600.

Contact Information

Primary practice address
32 E Main St Bay Shore NY 11706-8301
Phone: (631) 969-9600
Fax: (631) 968-7624
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 166249-1 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 042.0013988 Vermont

Profile Details

NPI number 1073516191
LBN Legal business name Campbell, Lawrence D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2005
Last updated Jul 5th, 2019 - about 5 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 1073516191 NPPES
New York Other 4C4541 PHS / HEALTHNET
New York Other AA4619S PHS / HEALTHNET
New York Other CP498 PHS / HEALTHNET
New York Other 000AN2 PHS / HEALTHNET
New York MEDICAID 00977793 PHS / HEALTHNET
New York Other 166249P PHS / HEALTHNET
New York Other 0000044342306 PHS / HEALTHNET
New York Other 35856 PHS / HEALTHNET
New York Other 6077D PHS / HEALTHNET
New York Other 131673 PHS / HEALTHNET
New York Other 433152N PHS / HEALTHNET

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