Provider Demographics
NPI:1174574784
Name:LAMPE, MICHAEL A (DC)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:A
Last Name:LAMPE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 N BELCHER RD
Mailing Address - Street 2:SUITE #4
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765-2608
Mailing Address - Country:US
Mailing Address - Phone:727-791-9355
Mailing Address - Fax:727-683-9466
Practice Address - Street 1:407 N BELCHER RD
Practice Address - Street 2:SUITE #4
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765-2608
Practice Address - Country:US
Practice Address - Phone:727-791-9355
Practice Address - Fax:727-791-9355
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2014-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 8529111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL88115OtherBLUE CROSS
FLP00181335OtherRAILROAD MEDICARE
FL200100010OtherTIN
FL88115AMedicare PIN
FLU94950Medicare UPIN