Provider Demographics
NPI:1922445709
Name:CAMPBELL, JEFFREY ERIC (MSAC, DIPL AC)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:ERIC
Last Name:CAMPBELL
Suffix:
Gender:M
Credentials:MSAC, DIPL AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 S UNION ST
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49684-5754
Mailing Address - Country:US
Mailing Address - Phone:231-946-4325
Mailing Address - Fax:
Practice Address - Street 1:402 S UNION ST
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684-5754
Practice Address - Country:US
Practice Address - Phone:231-946-4325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-03
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist