Campbell, Phyllis E

Campbell, Phyllis E is an individual health care provider with primary practice located at 10710 Charter Dr Suite 200, Columbia MD 21044-3128. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Campbell, Phyllis E can be contacted via phone (410) 997-0580.

Contact Information

Primary practice address
10710 Charter Dr Suite 200 Columbia MD 21044-3128
Phone: (410) 997-0580
Fax: (410) 740-8587
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X D33911 Maryland

Profile Details

NPI number 1497755425
LBN Legal business name Campbell, Phyllis E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2005
Last updated Dec 9th, 2009 - about 16 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 1497755425 NPPES
Maryland MEDICAID 5270014

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