Campbell, William T.

Campbell, William T. is an individual health care provider with primary practice located at 2120 W Kearney St , Springfield MO 65803-1653. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Occupational Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Campbell, William T. can be contacted via phone (417) 869-6191.

Contact Information

Primary practice address
2120 W Kearney St Springfield MO 65803-1653
Fax: (417) 869-4131
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 2006028597 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2006028597 Missouri

Profile Details

NPI number 1023108677
LBN Legal business name Campbell, William T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated May 30th, 2008 - about 18 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 1023108677 NPPES
Missouri MEDICAID # PENDING

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