MEDICARE: MICHAEL EARLE CAMPBELL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	32536	MD
2	104100000X	Social Worker		MD

General Provider Information

NPI Number	:	1922811017
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL EARLE CAMPBELL

Provider Business Mailing Address
First Line	:	2714 N CALVERT ST APT 2
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21218-4873
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2714 N CALVERT ST APT 2
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21218-4873
Country	:	US
Telephone Number	:	410-299-6037
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2025
Last Update Date	:	02/26/2026

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Directions to “ MICHAEL EARLE CAMPBELL ” Practice Location

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