Individual
DR. NICHOLAS SIMEON CAMBOURIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1930 PEARL RD, SUITE 2, BRUNSWICK, OH 44212-6477
(330) 220-2001
(330) 220-2232
Mailing address
1930 PEARL RD, SUITE 2, BRUNSWICK, OH 44212-6477
(330) 220-2001
(330) 220-2232
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3400
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000374322
ANTHEM
OH
01
—
7141540
AETNA
OH
Enumeration date
02/12/2007
Last updated
01/26/2016
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