C. E. Campbell is a Specialist in Blytheville, Arkansas. C. E. Campbell practices all healthcare services and medical treatments related to Specialist. The NPI Number for C. E. Campbell is 1114934353. The last update date is 2011-03-01.
C. E. Campbell's current location address is 609 Fulton St, Blytheville, Arkansas. You can contact this provider via phone number 8707630855 and fax number 8707630858. The mailing address for C. E. Campbell is 609 Fulton St, Blytheville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | C. E. Campbell |
|---|---|
| Address | 609 Fulton St, Blytheville, Arkansas |
| Phone Number | 8707630855 |
| Fax Number | 8707630858 |
| Sole Proprietor | Y |
| Credentials | M.D., PA |
NPI Number Detail
| NPI Number | 1114934353 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2011-03-01 |
Provider Mailing Address Detail
| Address | 609 Fulton St |
|---|---|
| City | Blytheville |
| State | Arkansas (AR) |
| Post Code | 723151922 |
| Phone Number | 8707630855 |
| Fax Number | 8707630858 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | R1755 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 103439001 | AR | -- | |
| 508807299 | AR | MEDICARE RENDERING # | |
| 1104017227 | AR | GROUP NPI | |
| 1114934353 | AR | INDIVIDUAL NPI | |
| 201045309 | MO | -- | |
| 50880 | AR | INDIVIDUAL BC/BS | |
| R1755 | AR | STATE LICENSE |
Post Comment/ Review Below
What is the C. E. Campbell's 1114934353?
The C. E. Campbell's NPI (National Provider Identifier) Number is 1114934353. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of C. E. Campbell?
The C. E. Campbell is situated at 609 Fulton St, in the city of Blytheville, state of AR, with the zip code 723151922.
What is C. E. Campbell's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for C. E. Campbell is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1114934353 to C. E. Campbell?
The C. E. Campbell received its 1114934353 assignment from the Centers for Medicare & Medicaid Services on 2006-08-01.
When was the information pertaining to C. E. Campbell most recently updated or revised?
The details related to C. E. Campbell, including its address, specialty, and other relevant information, were last updated or revised on 2011-03-01.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC