Campbell, Theresa M
Campbell, Theresa M is an sole proprietor health care provider with primary practice located at 2200 N Kimball St Ste 400, Mitchell SD 57301-1199. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Campbell, Theresa M can be contacted via phone (605) 996-7900.Contact Information
Primary practice address
2200 N Kimball St Ste 400
Mitchell SD 57301-1199
Phone: (605) 996-7900
Fax: (605) 996-7908
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 3969 | South Dakota |
Profile Details
| NPI number | 1073583621 |
|---|---|
| LBN Legal business name | Campbell, Theresa M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Sep 24th, 2008 - about 16 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 | 1073583621 | NPPES |
| South Dakota | MEDICAID | 5602053 |
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