Campbell And Brooks 1, Pc | |
4415 Duke Street Kalamazoo MI 49008-9563 | |
(269) 349-1799 | |
Not Available |
Full Name | Campbell And Brooks 1, Pc |
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Speciality | Psychologist |
Location | 4415 Duke Street, Kalamazoo, Michigan |
Authorized Official Name and Position | Leslie Campbell (ADMINISTRATOR) |
Authorized Official Contact | 2693491799 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Campbell And Brooks 1, Pc 690 Airway Dr # 211 Allegan MI 49010-9563 Ph: (269) 349-1799 | Campbell And Brooks 1, Pc 4415 Duke Street Kalamazoo MI 49008-9563 Ph: (269) 349-1799 |
NPI Number | 1194869511 |
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Provider Enumeration Date | 02/18/2007 |
Last Update Date | 12/08/2022 |
Certification Date | 12/08/2022 |
Medicare PECOS PAC ID | 8729174594 |
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Medicare Enrollment ID | O20071010000417 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194869511 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC1900X | Psychologist - Counseling | 2557 (Michigan) | Primary |
Provider Name | William D Brooks |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1497860092 PECOS PAC ID: 4880580737 Enrollment ID: I20071010000451 |
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