Campbell, Lorraine Dome
Campbell, Lorraine Dome is an individual health care provider with primary practice located at 3838 San Dimas St Suite A200, Bakersfield CA 93301-2284. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Campbell, Lorraine Dome can be contacted via phone (661) 654-0200.Contact Information
Primary practice address
3838 San Dimas St Suite A200
Bakersfield CA 93301-2284
Phone: (661) 654-0200
Fax: (661) 664-2855
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA14728 | California |
Profile Details
NPI number | 1194747808 |
---|---|
LBN Legal business name | Campbell, Lorraine Dome |
Credentials | PAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 24th, 2006 |
Last updated | Aug 4th, 2014 - 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 | 1194747808 | NPPES |
California | Other | G476810 | MEDICAL/BKFD INT MED/DOUG |
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