Provider Demographics
NPI:1851670434
Name:CAMPBELL, JAMES A (M D)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:A
Last Name:CAMPBELL
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:601 N 30TH ST STE 1609
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131-2137
Mailing Address - Country:US
Mailing Address - Phone:402-552-6244
Mailing Address - Fax:402-552-6247
Practice Address - Street 1:601 NORTH 30 STREET, SUITE 1609
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131-0000
Practice Address - Country:US
Practice Address - Phone:402-552-6244
Practice Address - Fax:402-552-6247
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-12
Last Update Date:2011-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NETEP65342084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry