Campbell, Susan

Campbell, Susan is an individual health care provider with primary practice located at 1376 Highway 36 , Hazlet NJ 07730-1716. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Campbell, Susan can be contacted via phone (732) 264-5500.

Contact Information

Primary practice address
1376 Highway 36 Hazlet NJ 07730-1716
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 26NJ00635900 New Jersey

Profile Details

NPI number 1972950939
LBN Legal business name Campbell, Susan
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2016
Last updated Nov 18th, 2021 - about 4 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 1972950939 NPPES
New Jersey Other 26NJ00635900 NEW JERSEY NP LICENSE

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