Campos, Luis Ismael

Campos, Luis Ismael is an individual health care provider with primary practice located at 101 S 17Th St , Allentown PA 18104-6704. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Campos, Luis Ismael can be contacted via phone (610) 821-9228.

Contact Information

Primary practice address
101 S 17Th St Allentown PA 18104-6704
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD038866L Pennsylvania

Profile Details

NPI number 1366425027
LBN Legal business name Campos, Luis Ismael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 26th, 2005
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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1366425027 NPPES
Pennsylvania MEDICAID 0000960429

Popular Providers