Mr. Joseph Lewis Campanelli
Surgeon Otolaryngologist (ENT Doctor) Facial Plastic Surgeon
2510 Airpark Dr Ste 301
Redding
, California 96001-2462
Mr. Joseph Lewis Campanelli
Surgeon Otolaryngologist (ENT Doctor) Facial Plastic Surgeon
2510 Airpark Dr Ste 301
Redding
, California 96001-2462
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
- Facial Plastic Surgeon
- Surgeon
Languages spoken
- English
Location
First Address
- Mr. Joseph Lewis Campanelli
- 3400 Data Dr Attn: Credentialing/payer Enrollment
- Rancho Cordova, CA
- Zip : 95670-7956
- Phone :
Second Address
- Mr. Joseph Lewis Campanelli
- 2510 Airpark Dr Ste 301
- Redding, CA
- Zip : 96001-2462
- Phone : (530) 242-3500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Y00000X | Otolaryngologist (ENT Doctor) | 45680 | MN |
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | G79290 | CA |
| N | 207YS0123X | Facial Plastic Surgeon | 45680 | MN |
| N | 208200000X | Surgeon | 45860 | MN |
| N | 208600000X | Surgeon | 45860 | MN |
National Provider Identifier
| NPI | 1487690749 |
|---|---|
| Provider Name | Mr. Joseph Lewis Campanelli |
| First Address | Rancho Cordova, CA 95670-7956 |
| Second Address | Redding, CA 96001-2462 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/06/2006 |
| Last Update Date | 13/05/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 747608600 | (05) | MN |
| H43529 | (02) |
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.