Campbell, Richard

Campbell, Richard is an individual health care provider with primary practice located at 12040 Ne 128Th St , Kirkland WA 98034-3013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Campbell, Richard can be contacted via phone (425) 899-1000.

Contact Information

Primary practice address
12040 Ne 128Th St Kirkland WA 98034-3013
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD00046323 Washington

Profile Details

NPI number 1417984089
LBN Legal business name Campbell, Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Jan 3rd, 2011 - about 13 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 1417984089 NPPES
Other 910861251 PREMERA BLUE CROSS
MEDICAID 8458614 PREMERA BLUE CROSS
Other 8942675 PREMERA BLUE CROSS
Other 212018 PREMERA BLUE CROSS
Other 2162CA PREMERA BLUE CROSS

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