Campbell, Teresa R

Campbell, Teresa R is an individual health care provider with primary practice located at 825 Delbon Ave , Turlock CA 95382-2016. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Campbell, Teresa R can be contacted via phone (209) 664-2790.

Contact Information

Primary practice address
825 Delbon Ave Turlock CA 95382-2016
Phone: (209) 664-2790
Fax: (209) 664-2797
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA13619 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP7094C California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 7094 California

Profile Details

NPI number 1164574646
LBN Legal business name Campbell, Teresa R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated May 6th, 2016 - about 9 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 1164574646 NPPES
California Other PA13619 MEDICAL LICENSE

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