Glover-Campbell, Diana
Glover-Campbell, Diana is an individual health care provider with primary practice located at 520 Brookdale Dr Lower Level, Statesville NC 28677-4108. She recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mastectomy Fitter, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Other Service Providers / Specialist. Other Service Providers / Specialist is her primary health care specialty. Glover-Campbell, Diana can be contacted via phone (704) 872-1037.Contact Information
Primary practice address
520 Brookdale Dr Lower Level
Statesville NC 28677-4108
Phone: (704) 872-1037
Fax: (704) 872-1987
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mastectomy Fitter | 224900000X | CFM02153 | Delaware |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist | 224L00000X | CPED0524 | Delaware |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist | 222Z00000X | C15207 | Maryland |
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1285826065 |
|---|---|
| LBN Legal business name | Glover-Campbell, Diana |
| Credentials | CO, CPED, CFM |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2007 |
| Last updated | Jan 11th, 2013 - about 11 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 | 1285826065 | NPPES |
| North Carolina | MEDICAID | 7795135 | |
| North Carolina | MEDICAID | 7704084 | |
| North Carolina | MEDICAID | 7795136 | |
| North Carolina | MEDICAID | 7795450 |
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