Campbell, Susan L

Campbell, Susan L is an individual health care provider with primary practice located at 2131 East State St. , Athens OH 45701. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Campbell, Susan L can be contacted via phone (740) 589-3100.

Contact Information

Primary practice address
2131 East State St. Athens OH 45701
Phone: (740) 589-3100
Fax: (740) 589-3123
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X APRN.CNM.10196 Ohio

Profile Details

NPI number 1063413029
LBN Legal business name Campbell, Susan L
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Nov 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063413029 NPPES
Ohio Other 000000259823 OH MEDICAID UNISON
Ohio Other 2882288 OH MEDICAID UNISON
Ohio MEDICAID 2882288 OH MEDICAID UNISON
Ohio Other P00665594 OH MEDICAID UNISON
Ohio Other 310917085201 OH MEDICAID UNISON
Ohio MEDICAID 3810013422 OH MEDICAID UNISON

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