MEDICARE: DR. SEAN MICHAEL CAMP D.C.

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
1	111N00000X	Chiropractor	2028	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	44-00292	OTHER	OH	UNITED HEALTHCARE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	Q012521	OTHER	OH	HOMETOWN HEALTH PLAN
4	000000127706	OTHER	OH	ANTHEM BC/BS
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457356248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SEAN MICHAEL CAMP D.C.

Provider Business Mailing Address
First Line	:	PO BOX 23
Second Line	:
City	:	ORRVILLE
State	:	OH
Zip	:	44667-0023
Country	:	US
Telephone Number	:	330-682-6876
Fax Number	:	330-683-0836

Provider Business Practice Location Address
First Line	:	345 S CROWN HILL RD
Second Line	:
City	:	ORRVILLE
State	:	OH
Zip	:	44667-9527
Country	:	US
Telephone Number	:	330-682-6876
Fax Number	:	330-683-0836

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	04/07/2020

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Directions to “ DR. SEAN MICHAEL CAMP D.C.” Practice Location

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