Campbell, Thelma M

Campbell, Thelma M is an sole proprietor health care provider with primary practice located at 4101 Nw 4Th St Suite 306, Plantation FL 33317. She recently has only one registered license in Nursing Service Providers / Obstetric, High-Risk, which is considered as her primary health care specialty. Campbell, Thelma M can be contacted via phone (954) 522-2979.

Contact Information

Primary practice address
4101 Nw 4Th St Suite 306 Plantation FL 33317
Fax: (954) 903-0633
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Obstetric, High-Risk 163WX0002X AN1400462 Florida

Profile Details

NPI number 1093801755
LBN Legal business name Campbell, Thelma M
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
Last updated Jan 7th, 2020 - 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 1093801755 NPPES
Florida MEDICAID 302476800

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