Campbell, Marissa

Campbell, Marissa is an individual health care provider with primary practice located at 690 Cooper Rd Suite 101, Gilbert AZ 85233-0000. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as her primary health care specialty. Campbell, Marissa can be contacted via phone (480) 503-2100.

Contact Information

Primary practice address
690 Cooper Rd Suite 101 Gilbert AZ 85233-0000
Fax: (480) 503-2131
Website:

Health care specialties

Profile Details

NPI number 1104999408
LBN Legal business name Campbell, Marissa
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated Mar 12th, 2018 - about 6 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 1104999408 NPPES
Arizona Other 64890 MEDICARE GROUP NUMBER

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