Provider Demographics
NPI:1538613385
Name:HAMPTON, MARCEL (DC)
Entity type:Individual
Prefix:
First Name:MARCEL
Middle Name:
Last Name:HAMPTON
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 1:1616 LAWRENCE AVE STE AB
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43607-2067
Mailing Address - Country:US
Mailing Address - Phone:419-242-9449
Mailing Address - Fax:
Practice Address - Street 1:1616 LAWRENCE AVE STE AB
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43607-2067
Practice Address - Country:US
Practice Address - Phone:419-242-9449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-10
Last Update Date:2016-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4578111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor