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
Phone: (530) 274-6085
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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 8 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 | 1306842588 | NPPES |
California | MEDICAID | 00G319780 |
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