Campbell, Mark

Campbell, Mark is an individual health care provider with primary practice located at 3901 Beaubien St , Detroit MI 48201-2119. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Campbell, Mark can be contacted via phone (952) 442-9770.

Contact Information

Primary practice address
3901 Beaubien St Detroit MI 48201-2119
Phone: (952) 442-9770
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704194477 Michigan

Profile Details

NPI number 1538151238
LBN Legal business name Campbell, Mark
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Jul 8th, 2007 - about 17 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 1538151238 NPPES
Michigan Other MC194477 BLUE CROSS

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