Organization
COASTAL CHIROPRACTIC CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP ADRIAN VANCAMPEN D.C. (OWNER)
(910) 343-1111
Entity
Organization
Contact information
Practice address
3825 MARKET ST, SUITE #1, WILMINGTON, NC 28403-1453
(910) 343-1111
(910) 343-8292
Mailing address
PO BOX 12027, WILMINGTON, NC 28405-0100
(910) 343-1111
(910) 343-8292
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08304
BCBSNC
NC
05
—
8908304
—
NC
Enumeration date
07/17/2006
Last updated
03/14/2011
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