Provider Demographics
NPI:1053661116
Name:CAMPBELL, CHRISTINE (DC)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:322 MONTEREY PL
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-4201
Mailing Address - Country:US
Mailing Address - Phone:215-802-1404
Mailing Address - Fax:215-968-7722
Practice Address - Street 1:121 FRIENDS LN STE 100
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-3424
Practice Address - Country:US
Practice Address - Phone:215-968-1661
Practice Address - Fax:215-968-7722
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-17
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006935L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor