Theodore A Campbell in Wyckoff - Chiropractor
Theodore A Campbell - NPI 1790823961
Theodore A Campbell is a Chiropractor in Wyckoff, New Jersey. Theodore A Campbell practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Theodore A Campbell is 1790823961. The last update date is 2022-01-20.
Theodore A Campbell's current location address is 260 Godwin Ave, Wyckoff, New Jersey. You can contact this provider via phone number 2013273236 and fax number 2013273231. The mailing address for Theodore A Campbell is 260 Godwin Ave, Wyckoff, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodore A Campbell |
|---|---|
| Address | 260 Godwin Ave, Wyckoff, New Jersey |
| Phone Number | 2013273236 |
| Fax Number | 2013273231 |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1790823961 |
|---|---|
| Provider Enumeration Date | 2007-02-01 |
| Last Updated Date | 2022-01-20 |
Provider Mailing Address Detail
| Address | 260 Godwin Ave |
|---|---|
| City | Wyckoff |
| State | New Jersey (NJ) |
| Post Code | 74812099 |
| Phone Number | 2013273236 |
| Fax Number | 2013273231 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 1760 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 489000 | NJ | -- |
Post Comment/ Review Below
What is the Theodore A Campbell's unique identification number?
The Theodore A Campbell has been assigned the NPI (National Provider Identifier) Number 1790823961 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Theodore A Campbell?
The Theodore A Campbell is physically situated at 260 Godwin Ave, in the city of Wyckoff, state of NJ, with the postal code 74812099.
What is the area of specialization for Theodore A Campbell, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Theodore A Campbell is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.
On what date did the Theodore A Campbell receive the assignment of its 1790823961 from the Centers for Medicare & Medicaid Services?
The Theodore A Campbell was issued its 1790823961 by the Centers for Medicare & Medicaid Services on 2007-02-01.
As of what date were the details pertaining to Theodore A Campbell last refreshed?
The information related to the Theodore A Campbell, including its address, specialty, and other relevant details, was last updated on 2022-01-20.
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