Organization Name: | CAMPBELL PEDORTHICS, LLC |
NPI Number: | 1740436179 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SCOTT JAMES CAMPBELL (OWNER) |
Mailing Address: | 1520 Huguenot Rd Suite 114 Midlothian |
State: | VA US |
Postal Code: | 231132477 |
Phone Number: | 8047940070 |
Fax Number: | 8047940072 |
NPI Enumeration Date: | 08/18/2008 |
NPI Last Update Date: | 08/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | CPED0774 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DE |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy 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. |