Campenni, Michael A
Campenni, Michael A is an individual health care provider with primary practice located at 250 Kennedy Blvd Unit 2 , Pittston PA 18640-1811. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Campenni, Michael A can be contacted via phone (570) 491-8141.Contact Information
Primary practice address
250 Kennedy Blvd Unit 2
Pittston PA 18640-1811
Phone: (570) 491-8141
Fax: (570) 891-4284
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | AZ4639 | Arizona |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | OS008694L | Pennsylvania |
Profile Details
| NPI number | 1053313478 |
|---|---|
| LBN Legal business name | Campenni, Michael A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Apr 29th, 2022 - about 2 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 | 1053313478 | NPPES |
| Pennsylvania | Other | 48716 | GEISINGER HEALTH PLAN |
| Pennsylvania | MEDICAID | 0017424060001 | GEISINGER HEALTH PLAN |
| Pennsylvania | MEDICAID | 328233 | GEISINGER HEALTH PLAN |
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