1720183882 NPI number — DR. DAVID ANDREW CAMPBELL D.C.

Table of content: DR. DAVID ANDREW CAMPBELL D.C. (NPI 1720183882)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720183882 NPI number — DR. DAVID ANDREW CAMPBELL D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CAMPBELL
Provider First Name:
DAVID
Provider Middle Name:
ANDREW
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.C.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1720183882
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/31/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7520 S RURAL RD
Provider Second Line Business Mailing Address:
STE A10
Provider Business Mailing Address City Name:
TEMPE
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85283-4656
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
480-831-2870
Provider Business Mailing Address Fax Number:
480-831-2872

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7420 S RURAL RD
Provider Second Line Business Practice Location Address:
SUITE B6
Provider Business Practice Location Address City Name:
TEMPE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85283-4655
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-831-2870
Provider Business Practice Location Address Fax Number:
480-831-2872
Provider Enumeration Date:
09/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  AZ 5847 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: AZ0247230 . This is a "BC/BS" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".




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