Dr. Dwin E Campbell
Internist General Practice Physician
221 Idetown Rd
Dallas
, Pennsylvania 18612-1136
Dr. Dwin E Campbell
Internist General Practice Physician
221 Idetown Rd
Dallas
, Pennsylvania 18612-1136
(570) 639-2559
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About
Features
Specialties
- Internist
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Dwin E Campbell
- 221 Idetown Rd
- Dallas, PA
- Zip : 18612-1136
- Fax : (570) 639-2559
- Phone : (570) 674-2998
Second Address
- Dr. Dwin E Campbell
- 221 Idetown Rd
- Dallas, PA
- Zip : 18612-1136
- Fax : (570) 639-2559
- Phone : (570) 674-2998
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207R00000X | Internist | OS-009630-L | PA |
| Y | 111NI0900X | Internist | OS-009630-L | PA |
| N | 208D00000X | General Practice Physician | OS-009630-L | PA |
National Provider Identifier
| NPI | 1053305383 |
|---|---|
| Provider Name | Dr. Dwin E Campbell |
| First Address | Dallas, PA 18612-1136 |
| Second Address | Dallas, PA 18612-1136 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/09/2005 |
| Last Update Date | 28/04/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G88155 | (02) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.