Provider Demographics
NPI:1679831457
Name:CAMPBELL, STEVEN BRIAN (NBC-HIS)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:BRIAN
Last Name:CAMPBELL
Suffix:
Gender:M
Credentials:NBC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1649 BRICE RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-2758
Mailing Address - Country:US
Mailing Address - Phone:614-501-4327
Mailing Address - Fax:614-859-8380
Practice Address - Street 1:1649 BRICE RD
Practice Address - Street 2:SUITE C
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-2758
Practice Address - Country:US
Practice Address - Phone:614-501-4327
Practice Address - Fax:614-859-8380
Is Sole Proprietor?:No
Enumeration Date:2012-04-30
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH02883237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist