Campo, Gerald Joseph

Campo, Gerald Joseph is an individual health care provider with primary practice located at 13611 100Th Ave Ne , Kirkland WA 98034-5234. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Campo, Gerald Joseph can be contacted via phone (425) 821-3388.

Contact Information

Primary practice address
13611 100Th Ave Ne Kirkland WA 98034-5234
Fax: (425) 825-3840
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5820 Washington

Profile Details

NPI number 1538373329
LBN Legal business name Campo, Gerald Joseph
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2007
Last updated Jul 8th, 2007 - 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 1538373329 NPPES
Washington Other 835870 UNITED CONCORDIA
Washington MEDICAID 5030416 UNITED CONCORDIA
Washington Other CA7085 UNITED CONCORDIA
Washington Other 40231 UNITED CONCORDIA

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