Campbell, Shiva Minerva

Campbell, Shiva Minerva is an individual health care provider with primary practice located at 2495 Elmwood Ave , Kenmore NY 14217-2222. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Campbell, Shiva Minerva can be contacted via phone (716) 882-2127.

Contact Information

Primary practice address
2495 Elmwood Ave Kenmore NY 14217-2222
Phone: (716) 882-2127
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1871260547
LBN Legal business name Campbell, Shiva Minerva
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2021
Last updated Feb 3rd, 2022 - about 2 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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