Campbell, Mycheal Rochelle

Campbell, Mycheal Rochelle is an sole proprietor health care provider with primary practice located at 1728 Tennyson Ave , Dayton OH 45406-4050. She recently has only one registered license in Nursing Service Related Providers / Chore Provider, which is considered as her primary health care specialty. Campbell, Mycheal Rochelle can be contacted via phone (937) 718-3649.

Contact Information

Primary practice address
1728 Tennyson Ave Dayton OH 45406-4050
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Chore Provider 372500000X

Profile Details

NPI number 1831833201
LBN Legal business name Campbell, Mycheal Rochelle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2022
Last updated Apr 22nd, 2022 - about 2 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 1831833201 NPPES
Ohio MEDICAID 0477344

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