Campbell, Shannon D

Campbell, Shannon D is an individual health care provider with primary practice located at 1114 9Th Ave , Lewiston ID 83501-2659. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Campbell, Shannon D can be contacted via phone (208) 748-3102.

Contact Information

Primary practice address
1114 9Th Ave Lewiston ID 83501-2659
Phone: (208) 748-3102
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT-067 Idaho

Profile Details

NPI number 1801855440
LBN Legal business name Campbell, Shannon D
Credentials ATC/L
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Jul 8th, 2007 - about 19 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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