Provider Demographics
NPI:1306590823
Name:THOMAS J CAMPBELL DC
Entity type:Organization
Organization Name:THOMAS J CAMPBELL DC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:253-537-0266
Mailing Address - Street 1:PO BOX 70
Mailing Address - Street 2:
Mailing Address - City:SPANAWAY
Mailing Address - State:WA
Mailing Address - Zip Code:98387-0070
Mailing Address - Country:US
Mailing Address - Phone:253-537-0266
Mailing Address - Fax:253-537-2579
Practice Address - Street 1:17416 PACIFIC AVE S STE B
Practice Address - Street 2:
Practice Address - City:SPANAWAY
Practice Address - State:WA
Practice Address - Zip Code:98387-8263
Practice Address - Country:US
Practice Address - Phone:253-537-0266
Practice Address - Fax:253-537-2579
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-04
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty