Campell, Edward Sidney
Campell, Edward Sidney is an sole proprietor health care provider with primary practice located at 94 Ridgewood Ave , Ewing NJ 08618-1611. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Campell, Edward Sidney can be contacted via phone (609) 883-5083.Contact Information
Primary practice address
94 Ridgewood Ave
Ewing NJ 08618-1611
Phone: (609) 883-5083
Fax: (815) 572-5075
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 270A00276400 | New Jersey |
Profile Details
| NPI number | 1710980784 |
|---|---|
| LBN Legal business name | Campell, Edward Sidney |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2005 |
| Last updated | Aug 17th, 2012 - about 12 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 | 1710980784 | NPPES |
| New Jersey | MEDICAID | 2584506 |
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