Provider Demographics
NPI:1851563738
Name:CAMLIN CHIROPRACTIC CLINIC
Entity Type:Organization
Organization Name:CAMLIN CHIROPRACTIC CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:CAMLIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-837-4340
Mailing Address - Street 1:112 ALEXANDER AVE
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-2824
Mailing Address - Country:US
Mailing Address - Phone:724-837-4340
Mailing Address - Fax:724-837-8365
Practice Address - Street 1:112 ALEXANDER AVE
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-2824
Practice Address - Country:US
Practice Address - Phone:724-837-4340
Practice Address - Fax:724-837-8365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-31
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC002477L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA781513OtherHIGHMARK BLUE SHIELD