Campos, Christian T
Campos, Christian T is an individual health care provider with primary practice located at 191 Bedford Street Prima Care, Pc, Fall River MA 02721-3050. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Campos, Christian T can be contacted via phone (508) 235-5445.Contact Information
Primary practice address
191 Bedford Street Prima Care, Pc
Fall River MA 02721-3050
Phone: (508) 235-5445
Fax: (508) 235-5594
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 73421 | Connecticut |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 75745 | Massachusetts |
Profile Details
| NPI number | 1235238882 |
|---|---|
| LBN Legal business name | Campos, Christian T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Apr 12th, 2023 - 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 | 1235238882 | NPPES |
| Massachusetts | Other | J31298 | BLUE SHIELD |
| Massachusetts | Other | AA27765 | BLUE SHIELD |
| Massachusetts | MEDICAID | 314008 | BLUE SHIELD |
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