Campbell, Michael Andrew Wade

Campbell, Michael Andrew Wade is an sole proprietor health care provider with primary practice located at 4550 Amysaye Walk Nw , Acworth GA 30101-8342. He recently has 3 registered licenses in different health care specialties including Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Home Health Aide, Nursing Service Related Providers / Personal Care Attendant. Nursing Service Related Providers / Personal Care Attendant is his primary health care specialty. Campbell, Michael Andrew Wade can be contacted via phone (404) 917-7992.

Contact Information

Primary practice address
4550 Amysaye Walk Nw Acworth GA 30101-8342
Phone: (404) 917-7992
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Adult Companion 372600000X 404144 Georgia
Nursing Service Related Providers / Home Health Aide 374U00000X 404144 Georgia
Nursing Service Related Providers / Personal Care Attendant 3747P1801X 404144 Georgia

Profile Details

NPI number 1154891877
LBN Legal business name Campbell, Michael Andrew Wade
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 26th, 2018
Last updated Nov 26th, 2018 - about 7 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 1154891877 NPPES
Georgia Other 404144 STATE ISSUE NUMBER

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