Jeffrey J Campbell in Fond Du Lac - Clinical
Jeffrey J Campbell - NPI 1275565319
Jeffrey J Campbell is a Clinical in Fond Du Lac, Wisconsin. Jeffrey J Campbell practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jeffrey J Campbell is 1275565319. The last update date is 2020-10-22.
Jeffrey J Campbell's current location address is 420 E Division St, Fond Du Lac, Wisconsin. You can contact this provider via phone number 9209268343 and fax number 9209268370. The mailing address for Jeffrey J Campbell is 420 E Division St, Fond Du Lac, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey J Campbell |
|---|---|
| Address | 420 E Division St, Fond Du Lac, Wisconsin |
| Phone Number | 9209268343 |
| Fax Number | 9209268370 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1275565319 |
|---|---|
| Provider Enumeration Date | 2006-07-07 |
| Last Updated Date | 2020-10-22 |
Provider Mailing Address Detail
| Address | 420 E Division St |
|---|---|
| City | Fond Du Lac |
| State | Wisconsin (WI) |
| Post Code | 549354560 |
| Phone Number | 9209268343 |
| Fax Number | 9209268370 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6642123 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 39757500 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jeffrey J Campbell by the Centers for Medicare & Medicaid Services?
The Jeffrey J Campbell has been assigned the NPI (National Provider Identifier) 1275565319 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jeffrey J Campbell?
The Jeffrey J Campbell is situated at 420 E Division St, in the city of Fond Du Lac, state of WI, with the zip code 549354560.
What is Jeffrey J Campbell's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jeffrey J Campbell is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1275565319 to Jeffrey J Campbell?
The Centers for Medicare & Medicaid Services originally issued the 1275565319 to Jeffrey J Campbell on 2006-07-07.
When was the information regarding Jeffrey J Campbell most recently updated?
The details pertaining to the Jeffrey J Campbell, including its address, specialty, and other relevant information, were last refreshed on 2020-10-22.