Provider Demographics
NPI:1427719020
Name:CAMPBELL, ROBERT III (DC, DACNB)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:CAMPBELL
Suffix:III
Gender:M
Credentials:DC, DACNB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10425
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04104-0425
Mailing Address - Country:US
Mailing Address - Phone:401-741-2552
Mailing Address - Fax:
Practice Address - Street 1:1 CITY CTR STOP 1
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04101-4009
Practice Address - Country:US
Practice Address - Phone:207-699-2622
Practice Address - Fax:207-699-2624
Is Sole Proprietor?:No
Enumeration Date:2022-01-05
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDCP00698111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology