Campbell, Elvin Emanuel
Campbell, Elvin Emanuel is an individual health care provider with primary practice located at 1514 Kanawha Blvd W , Charleston WV 25387-2533. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Campbell, Elvin Emanuel can be contacted via phone (304) 610-9964.Contact Information
Primary practice address
1514 Kanawha Blvd W
Charleston WV 25387-2533
Phone: (304) 610-9964
Fax: (304) 768-7647
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | West Virginia |
Profile Details
| NPI number | 1982316915 |
|---|---|
| LBN Legal business name | Campbell, Elvin Emanuel |
| Credentials | BA, BSW, AAS, PRSS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2022 |
| Last updated | Dec 21st, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982316915 | NPPES |
| West Virginia | MEDICAID | 175T00000X |
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