Campbell, Peter Lawrence

Campbell, Peter Lawrence is an sole proprietor health care provider with primary practice located at 12721 Darby Brook Ct , Woodbridge VA 22192-2408. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Campbell, Peter Lawrence can be contacted via phone (703) 492-9961.

Contact Information

Primary practice address
12721 Darby Brook Ct Woodbridge VA 22192-2408
Phone: (703) 492-9961
Fax: (703) 497-1225
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0101029943 Virginia

Profile Details

NPI number 1700897030
LBN Legal business name Campbell, Peter Lawrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2006
Last updated May 1st, 2008 - about 17 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 1700897030 NPPES
District of Columbia Other 016501T24 RR MEDICARE X
District of Columbia Other 60484701 RR MEDICARE X
District of Columbia Other 915610 RR MEDICARE X
District of Columbia MEDICAID 007103921 RR MEDICARE X
District of Columbia Other 1533 RR MEDICARE X
District of Columbia Other 15330001 RR MEDICARE X
District of Columbia Other 175105 RR MEDICARE X
District of Columbia MEDICAID 010145040 RR MEDICARE X
District of Columbia Other 521463549002 RR MEDICARE X
District of Columbia Other 0000000285424 RR MEDICARE X
District of Columbia Other 2540172 RR MEDICARE X
District of Columbia Other G3960041 RR MEDICARE X

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