Campbell, Liza Marie
Campbell, Liza Marie is an individual health care provider with primary practice located at 3525 Mitchell Rd , Bedford IN 47421-5558. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Campbell, Liza Marie can be contacted via phone (812) 275-4419.Contact Information
Primary practice address
3525 Mitchell Rd
Bedford IN 47421-5558
Phone: (812) 275-4419
Fax: (812) 275-8044
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 08002520A | Indiana |
Profile Details
| NPI number | 1417269085 |
|---|---|
| LBN Legal business name | Campbell, Liza Marie |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2010 |
| Last updated | Feb 18th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417269085 | NPPES |
| Indiana | MEDICAID | 200871640A |
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