Provider Demographics
NPI:1396445086
Name:CAMPBELL, ANTHONY (MBA, MHSA, QBHS)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:
Last Name:CAMPBELL
Suffix:
Gender:M
Credentials:MBA, MHSA, QBHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7509 STATE ROUTE 99
Mailing Address - Street 2:
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44870-9796
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1031 PIERCE ST STE 306
Practice Address - Street 2:
Practice Address - City:SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:44870-4669
Practice Address - Country:US
Practice Address - Phone:567-290-2658
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-09
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator