Individual
C. E. CAMPBELL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PA
Contact information
Practice address
609 FULTON ST, BLYTHEVILLE, AR 72315-1922
(870) 763-0855
(870) 763-0858
Mailing address
609 FULTON ST, BLYTHEVILLE, AR 72315-1922
(870) 763-0855
(870) 763-0858
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R1755
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103439001
—
AR
01
—
1104017227
GROUP NPI
AR
01
—
1114934353
INDIVIDUAL NPI
AR
05
—
201045309
—
MO
01
—
50880
INDIVIDUAL BC/BS
AR
01
—
508807299
MEDICARE RENDERING #
AR
01
—
R1755
STATE LICENSE
AR
Enumeration date
08/01/2006
Last updated
03/01/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us