Provider Demographics
NPI:1043308976
Name:CAMPBELL, ROBERT COLIN (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:COLIN
Last Name:CAMPBELL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:259 POST RD
Mailing Address - Street 2:
Mailing Address - City:WESTERLY
Mailing Address - State:RI
Mailing Address - Zip Code:02891-2601
Mailing Address - Country:US
Mailing Address - Phone:401-322-8822
Mailing Address - Fax:401-322-9191
Practice Address - Street 1:259 POST RD
Practice Address - Street 2:
Practice Address - City:WESTERLY
Practice Address - State:RI
Practice Address - Zip Code:02891-2601
Practice Address - Country:US
Practice Address - Phone:401-322-8822
Practice Address - Fax:401-322-9191
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDCP00347111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIY22355Medicare UPIN
RI007056945Medicare PIN