Individual
MELVIN ALLEN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FACP
Contact information
Practice address
913 E ZERO ST, AINSWORTH, NE 69210-0287
(402) 387-1900
(402) 387-0139
Mailing address
PO BOX 287, AINSWORTH, NE 69210-0287
(402) 387-1900
(402) 387-0139
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12836
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02754
BCBS NE
—
01
—
080028209
RR MEDICARE PROVIDER
—
01
—
12836
NE LICENSE
—
05
—
47055072313
—
NE
05
—
7702980
—
SD
Enumeration date
06/22/2006
Last updated
03/07/2023
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