Provider Demographics
NPI:1609182542
Name:CAMPAIN, ANDREA BROOKE (DC)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:BROOKE
Last Name:CAMPAIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:706 W SHARON AVE
Mailing Address - Street 2:2
Mailing Address - City:HOUGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:49931-1970
Mailing Address - Country:US
Mailing Address - Phone:906-483-3388
Mailing Address - Fax:906-483-3788
Practice Address - Street 1:706 W SHARON AVE
Practice Address - Street 2:2
Practice Address - City:HOUGHTON
Practice Address - State:MI
Practice Address - Zip Code:49931-1970
Practice Address - Country:US
Practice Address - Phone:906-483-3388
Practice Address - Fax:906-483-3788
Is Sole Proprietor?:No
Enumeration Date:2010-08-30
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009718111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor