Campbell, Melissa
Campbell, Melissa is an individual health care provider with primary practice located at 6040 Lute Rd , Portage IN 46368-5008. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Campbell, Melissa can be contacted via phone (219) 763-6858.Contact Information
Primary practice address
6040 Lute Rd
Portage IN 46368-5008
Phone: (219) 763-6858
Fax: (219) 763-4858
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 06003483A | Indiana |
Profile Details
| NPI number | 1255531174 |
|---|---|
| LBN Legal business name | Campbell, Melissa |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2007 |
| Last updated | Jul 19th, 2007 - about 18 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 | 1255531174 | NPPES |
| Indiana | Other | 06003483A | PTA |
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