Campbell, Tom Edward

Campbell, Tom Edward is an individual health care provider with primary practice located at 590 E Western Reserve Rd Building 5, Poland OH 44514-3354. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Campbell, Tom Edward can be contacted via phone (330) 965-9954.

Contact Information

Primary practice address
590 E Western Reserve Rd Building 5 Poland OH 44514-3354
Phone: (330) 965-9954
Fax: (330) 965-9958
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 35-03-8186 Ohio

Profile Details

NPI number 1992796023
LBN Legal business name Campbell, Tom Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Mar 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992796023 NPPES
Ohio MEDICAID 0533159

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