Provider Demographics
NPI:1710450911
Name:CAMPION CHIROPRACTIC PC
Entity Type:Organization
Organization Name:CAMPION CHIROPRACTIC PC
Other - Org Name:DAMIAN CAMPION DC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAMIAN
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:CAMPION
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:563-888-5448
Mailing Address - Street 1:2395 TECH DR STE 4
Mailing Address - Street 2:
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722-3277
Mailing Address - Country:US
Mailing Address - Phone:563-885-5448
Mailing Address - Fax:563-888-5449
Practice Address - Street 1:2395 TECH DR STE 4
Practice Address - Street 2:
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722-3277
Practice Address - Country:US
Practice Address - Phone:563-885-5448
Practice Address - Fax:563-888-5449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-10
Last Update Date:2019-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty