Gregory Lee Campbell in Rockford - Physician Assistant
Gregory Lee Campbell - NPI 1508849480
Gregory Lee Campbell is a Physician Assistant in Rockford, Illinois. Gregory Lee Campbell practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Gregory Lee Campbell is 1508849480. The last update date is 2021-02-18.
Gregory Lee Campbell's current location address is 6824 Newburg Rd, Rockford, Illinois. You can contact this provider via phone number 7796967610. The mailing address for Gregory Lee Campbell is 6824 Newburg Rd, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Lee Campbell |
|---|---|
| Address | 6824 Newburg Rd, Rockford, Illinois |
| Phone Number | 7796967610 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1508849480 |
|---|---|
| Provider Enumeration Date | 2005-11-23 |
| Last Updated Date | 2021-02-18 |
Provider Mailing Address Detail
| Address | 6824 Newburg Rd |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 61108 |
| Phone Number | 7796967610 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 85001724 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 85001724 | IL | -- |
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What is the Gregory Lee Campbell's unique identification number?
The Gregory Lee Campbell has been assigned the NPI (National Provider Identifier) Number 1508849480 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
What is the unique 10-digit identification code assigned to Gregory Lee Campbell by the Centers for Medicare & Medicaid Services?
The Gregory Lee Campbell has been issued the NPI (National Provider Identifier) 1508849480, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Gregory Lee Campbell is physically located?
The Gregory Lee Campbell is physically situated at the following address: 6824 Newburg Rd, Rockford, IL, 61108.
What is the Gregory Lee Campbell's area of specialization and corresponding taxonomy classification?
The Gregory Lee Campbell's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
As of what date were the Gregory Lee Campbell's details last updated?
The information pertaining to the Gregory Lee Campbell, including its address, specialty, and other details, was most recently updated on 2021-02-18.