Provider Demographics
NPI:1487792016
Name:CAMLIN, DENNIS PAUL (DC)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:PAUL
Last Name:CAMLIN
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 1:112 ALEXANDER AVE
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-2824
Mailing Address - Country:US
Mailing Address - Phone:724-837-4340
Mailing Address - Fax:724-837-8365
Practice Address - Street 1:112 ALEXANDER AVE
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-2824
Practice Address - Country:US
Practice Address - Phone:724-837-4340
Practice Address - Fax:724-837-8365
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC002477L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PACA452068OtherPA BLUE SHIELD
PACA452068OtherHIGHMARK BC BS INDIVIDUAL
PA1018940OtherGATEWAY MEDICARE GROUP
PA1329914OtherUMWA HEALTH AND RETIREMEN
PA0988152Medicaid
PA1041628OtherGATEWAY MEDICAID
PA0009881520001Medicaid
PACA781513OtherPA BS GROUP NUMBER
PACA781513OtherPA BS GROUP NUMBER
PA1018940OtherGATEWAY MEDICARE GROUP
PA781513Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER