Noel Chavis Campbell Jr.
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Blakeslee, PA
NPI 1629660451 · NPPES record last updated Feb 3, 2021
Key facts
- NPI
- 1629660451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1618 Glacier Dr
Blakeslee, PA 18610-2109 - Phone
- (570) 982-7740
- NPI assigned
- Feb 3, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1618 Glacier Dr
Blakeslee, PA 18610-2109
Mailing address
1618 Glacier Dr
Blakeslee, PA 18610-2109
Other providers in Blakeslee, PA
- Ajbs Behavior Services
- Melissa Anuszewski
- Joshua Shawn Clark
- Comprehensive Psychological Services
- David W. Murphy Inc
- Family Recovery, LLC
- Chiffon Noreen Fitzpatrick
All providers in Blakeslee, PA · Student in an Organized Health Care Education/Training Program in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.