Campbell, Wayne E.

Campbell, Wayne E. is an individual health care provider with primary practice located at 550 Redstone Ave W Suite 200, Crestview FL 32536-6430. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Campbell, Wayne E. can be contacted via phone (850) 682-6122.

Contact Information

Primary practice address
550 Redstone Ave W Suite 200 Crestview FL 32536-6430
Phone: (850) 682-6122
Fax: (850) 682-5917
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME30203 Florida

Profile Details

NPI number 1417926577
LBN Legal business name Campbell, Wayne E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jun 24th, 2010 - about 14 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 1417926577 NPPES
Florida MEDICAID 058717600

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