Provider Demographics
NPI:1457313157
Name:CAMPBELL, JAMES O (DC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:O
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 1:1310 FREEPORT RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-3162
Mailing Address - Country:US
Mailing Address - Phone:412-963-7400
Mailing Address - Fax:412-963-7409
Practice Address - Street 1:1310 FREEPORT RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-3162
Practice Address - Country:US
Practice Address - Phone:412-963-7400
Practice Address - Fax:412-963-7409
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC001142L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA301167OtherUPMC
PA116012OtherHIGHMARK BC/BS
PA0007445960001Medicaid
PA116012OtherHIGHMARK BC/BS
PAT29145Medicare UPIN