Campbell, Spencer A
Campbell, Spencer A is an individual health care provider with primary practice located at 2901 W Kinnickinnic River Pkwy Suite 201, Milwaukee WI 53215-3677. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Campbell, Spencer A can be contacted via phone (414) 385-8700.Contact Information
Primary practice address
2901 W Kinnickinnic River Pkwy Suite 201
Milwaukee WI 53215-3677
Phone: (414) 385-8700
Fax: (414) 385-2799
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1558-023 | Wisconsin |
Profile Details
| NPI number | 1770559825 |
|---|---|
| LBN Legal business name | Campbell, Spencer A |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Nov 29th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770559825 | NPPES |
| Wisconsin | MEDICAID | 42954900 |
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