Campos, Rudolfo Bruce
Campos, Rudolfo Bruce is an sole proprietor health care provider with primary practice located at 114 Mccormick Canyon , Clifton AZ 85533. He recently has only one registered license in Respite Care Facility / Respite Care, Mental Illness, Child, which is considered as his primary health care specialty. Campos, Rudolfo Bruce can be contacted via phone (928) 865-3109.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respite Care Facility / Respite Care, Mental Illness, Child | 385HR2055X | Arizona |
Profile Details
| NPI number | 1669540555 |
|---|---|
| LBN Legal business name | Campos, Rudolfo Bruce |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 1st, 2006 |
| Last updated | Jul 25th, 2007 - about 17 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 | 1669540555 | NPPES |
| Arizona | MEDICAID | 758287 |
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