Campbell, Michael Cory

Campbell, Michael Cory is an individual health care provider with primary practice located at 600 Maple Ave , Honesdale PA 18431-1459. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Campbell, Michael Cory can be contacted via phone (570) 253-8219.

Contact Information

Primary practice address
600 Maple Ave Honesdale PA 18431-1459
Phone: (570) 253-8219
Fax: (570) 253-8242
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 22599 West Virginia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 22599 West Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD434864 Pennsylvania
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD434864 Pennsylvania

Profile Details

NPI number 1669684460
LBN Legal business name Campbell, Michael Cory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2007
Last updated Dec 28th, 2016 - about 9 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 1669684460 NPPES
Pennsylvania MEDICAID 102403507

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