Provider Demographics
NPI:1710042775
Name:CIAMPOLI, HELEN RITCHIE (DC)
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:RITCHIE
Last Name:CIAMPOLI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:HELEN
Other - Middle Name:
Other - Last Name:CIAMPOLI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:6112 OLD BARTHOLOW ROAD
Mailing Address - Street 2:
Mailing Address - City:ELDERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21784-8405
Mailing Address - Country:US
Mailing Address - Phone:410-795-7200
Mailing Address - Fax:410-795-6433
Practice Address - Street 1:6112 OLD BARTHOLOW ROAD
Practice Address - Street 2:
Practice Address - City:ELDERSBURG
Practice Address - State:MD
Practice Address - Zip Code:21784-8405
Practice Address - Country:US
Practice Address - Phone:410-795-7200
Practice Address - Fax:410-795-6433
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD501234111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
C861Medicare UPIN
MDC861Medicare ID - Type UnspecifiedNON PAR