Campo, Elizabeth

Campo, Elizabeth is an individual health care provider with primary practice located at 101 Dudley St , Providence RI 02905-2499. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Pediatric, which is considered as her primary health care specialty. Campo, Elizabeth can be contacted via phone (401) 274-1122.

Contact Information

Primary practice address
101 Dudley St Providence RI 02905-2499
Phone: (401) 274-1122
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X Rhode Island

Profile Details

NPI number 1134753841
LBN Legal business name Campo, Elizabeth
Credentials RD,LDN
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2020
Last updated Mar 3rd, 2020 - about 4 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 1134753841 NPPES
Rhode Island MEDICAID LDN720331

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