Campbell, Stuart Benjamin

Campbell, Stuart Benjamin is an sole proprietor health care provider with primary practice located at 155 Glasson Way , Grass Valley CA 95945-5723. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Campbell, Stuart Benjamin can be contacted via phone (530) 274-6085.

Contact Information

Primary practice address
155 Glasson Way Grass Valley CA 95945-5723
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G31978 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G31978 California

Profile Details

NPI number 1306842588
LBN Legal business name Campbell, Stuart Benjamin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2005
Last updated Aug 7th, 2017 - about 7 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 1306842588 NPPES
California MEDICAID 00G319780

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