Campbell, Timothy Robert

Campbell, Timothy Robert is an sole proprietor health care provider with primary practice located at 2190 N Grace Blvd , Chandler AZ 85225-3416. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Campbell, Timothy Robert can be contacted via phone (480) 281-5055.

Contact Information

Primary practice address
2190 N Grace Blvd Chandler AZ 85225-3416
Phone: (480) 281-5055
Fax: (480) 917-0503
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 269937 Arizona

Profile Details

NPI number 1407564032
LBN Legal business name Campbell, Timothy Robert
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2022
Last updated Nov 14th, 2022 - about 3 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 1407564032 NPPES
Arizona Other 269937 ARIZONA BOARD OF NURSING

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