Campbell, William B
Campbell, William B is an individual health care provider with primary practice located at 105A Ridgecrest , Nixa MO 65714-7807. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Campbell, William B can be contacted via phone (417) 725-8250.Contact Information
Primary practice address
105A Ridgecrest
Nixa MO 65714-7807
Phone: (417) 725-8250
Fax: (417) 725-8253
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | R2D18 | Missouri |
Profile Details
| NPI number | 1114919347 |
|---|---|
| LBN Legal business name | Campbell, William B |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Mar 17th, 2009 - about 15 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 | 1114919347 | NPPES |
| Other | P00174740 | RR MEDICARE | |
| MEDICAID | 241836204 | RR MEDICARE |
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