Campbell, Theodore A
Campbell, Theodore A is an sole proprietor health care provider with primary practice located at 260 Godwin Ave Ste 8, Wyckoff NJ 07481-2099. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Campbell, Theodore A can be contacted via phone (201) 327-3236.Contact Information
Primary practice address
260 Godwin Ave Ste 8
Wyckoff NJ 07481-2099
Phone: (201) 327-3236
Fax: (201) 327-3231
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1760 | New Jersey |
Profile Details
| NPI number | 1790823961 |
|---|---|
| LBN Legal business name | Campbell, Theodore A |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2007 |
| Last updated | Jan 20th, 2022 - about 2 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 | 1790823961 | NPPES |
| New Jersey | MEDICAID | 0489000 |
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