MEDICARE: MARCEL HAMPTON 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	4578	OH

General Provider Information

NPI Number	:	1538613385
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCEL HAMPTON D.C.

Provider Business Mailing Address
First Line	:	1616 LAWRENCE AVE STE AB
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43607-2067
Country	:	US
Telephone Number	:	419-242-9449
Fax Number	:

Provider Business Practice Location Address
First Line	:	1616 LAWRENCE AVE STE AB
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43607-2067
Country	:	US
Telephone Number	:	419-242-9449
Fax Number	:

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

Provider Enumeration Date	:	08/10/2016
Last Update Date	:	08/10/2016

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