Campbell, Michael Lyle

Campbell, Michael Lyle is an individual health care provider with primary practice located at 827 Lamar Alexander Pkwy , Maryville TN 37802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Campbell, Michael Lyle can be contacted via phone (865) 984-0900.

Contact Information

Primary practice address
827 Lamar Alexander Pkwy Maryville TN 37802
Phone: (865) 984-0900
Fax: (865) 984-1035
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD35428 Tennessee

Profile Details

NPI number 1801864012
LBN Legal business name Campbell, Michael Lyle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jun 20th, 2017 - 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 1801864012 NPPES
Tennessee Other 4017788 BLUE CROSS BLUE SHIELD
Tennessee Other 200046165 BLUE CROSS BLUE SHIELD
Tennessee Other TN01A7 BLUE CROSS BLUE SHIELD
Tennessee MEDICAID 3866234 BLUE CROSS BLUE SHIELD

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