Provider Demographics
NPI:1588833164
Name:CAMPEAU CHIROPRACTIC, PC
Entity Type:Organization
Organization Name:CAMPEAU CHIROPRACTIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CAMPEAU
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:919-742-5306
Mailing Address - Street 1:PO BOX 1074
Mailing Address - Street 2:
Mailing Address - City:SILER CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27344-1074
Mailing Address - Country:US
Mailing Address - Phone:919-742-5306
Mailing Address - Fax:919-742-5306
Practice Address - Street 1:110 VILLAGE LAKE RD
Practice Address - Street 2:SUITE C
Practice Address - City:SILER CITY
Practice Address - State:NC
Practice Address - Zip Code:27344-1821
Practice Address - Country:US
Practice Address - Phone:919-742-5306
Practice Address - Fax:919-742-5306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-27
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2948111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty