Provider Demographics
NPI:1215737440
Name:CAMPBELL, ERIN R
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:R
Last Name:CAMPBELL
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28878 STATE ROUTE 30
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:44427-9743
Mailing Address - Country:US
Mailing Address - Phone:740-821-0715
Mailing Address - Fax:
Practice Address - Street 1:28878 STATE ROUTE 30
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:OH
Practice Address - Zip Code:44427-9743
Practice Address - Country:US
Practice Address - Phone:740-821-0715
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator