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NPI Code Detail

MEDICARE: CAMPEAU CHIROPRACTIC, PC

MEDICARE: CAMPEAU CHIROPRACTIC, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor2948NC

General Provider Information

NPI Number : 1588833164
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAMPEAU CHIROPRACTIC, PC
Provider Business Mailing Address
First Line : PO BOX 1074
Second Line :
City : SILER CITY
State : NC
Zip : 27344-1074
Country : US
Telephone Number : 919-742-5306
Fax Number : 919-742-5306
Provider Business Practice Location Address
First Line : 110 VILLAGE LAKE RD
Second Line : SUITE C
City : SILER CITY
State : NC
Zip : 27344-1821
Country : US
Telephone Number : 919-742-5306
Fax Number : 919-742-5306
Authorized Official
Title or Position : PRESIDENT
Name : DR. SUSAN MARIE CAMPEAU
Credential : DC
Telephone Number : 919-742-5306
Provider Enumeration Date : 02/27/2008
Last Update Date : 02/27/2008

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1407814841 — DR. SUSAN MARIE CAMPEAU DC
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1659381382 — SANDRA ANN WICKHAM LCSW
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1932379922 — THERAPEUTIC ALTERNATIVES, INC.
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Directions to “CAMPEAU CHIROPRACTIC, PC ” Practice Location

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