Campbell, Mark Edward
Campbell, Mark Edward is an individual health care provider with primary practice located at 2209 Jefferson Davis Dr , Oxford MS 38655-5221. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Campbell, Mark Edward can be contacted via phone (662) 281-1115.Contact Information
Primary practice address
2209 Jefferson Davis Dr
Oxford MS 38655-5221
Phone: (662) 281-1115
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 023324 | Louisiana |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 18362 | Mississippi |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 18362 | Mississippi |
Profile Details
| NPI number | 1225090715 |
|---|---|
| LBN Legal business name | Campbell, Mark Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Apr 13th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225090715 | NPPES |
| Mississippi | MEDICAID | 02255074 |
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