Campbell, Heidi A

Campbell, Heidi A is an individual health care provider with primary practice located at 268 Main St , East Aurora NY 14052-1655. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Campbell, Heidi A can be contacted via phone (716) 652-8606.

Contact Information

Primary practice address
268 Main St East Aurora NY 14052-1655
Phone: (716) 652-8606
Fax: (716) 805-1225
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 006071 New York

Profile Details

NPI number 1518937903
LBN Legal business name Campbell, Heidi A
Credentials RPA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Jan 26th, 2017 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518937903 NPPES
New York MEDICAID 01798801

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