Provider Demographics
NPI:1871843706
Name:CAMPION, FREDERICK R (DC)
Entity type:Individual
Prefix:
First Name:FREDERICK
Middle Name:R
Last Name:CAMPION
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:TOBY
Other - Middle Name:
Other - Last Name:CAMPION
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:639 AVENIDA PEQUENA
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93111-1413
Mailing Address - Country:US
Mailing Address - Phone:805-964-8687
Mailing Address - Fax:
Practice Address - Street 1:14 W MICHELTORENA ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2510
Practice Address - Country:US
Practice Address - Phone:323-493-6118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-18
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC13963111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor