Campbell, Mical S
Campbell, Mical S is an individual health care provider with primary practice located at Coastal Digestive Diseases 234A Bank St, New London CT 06320. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Campbell, Mical S can be contacted via phone (860) 442-0290.Contact Information
Primary practice address
Coastal Digestive Diseases 234A Bank St
New London CT 06320
Phone: (860) 442-0290
Fax: (860) 442-2136
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 044903 | Connecticut |
Profile Details
| NPI number | 1083628770 |
|---|---|
| LBN Legal business name | Campbell, Mical S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Dec 17th, 2012 - about 12 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 | 1083628770 | NPPES |
| Pennsylvania | MEDICAID | 10128700 |
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