Provider Demographics
NPI:1043072630
Name:CRAWFORD, HEATH OLIVER (DC)
Entity Type:Individual
Prefix:
First Name:HEATH
Middle Name:OLIVER
Last Name:CRAWFORD
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 1:4485 LANTERN POINT AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89084-4749
Mailing Address - Country:US
Mailing Address - Phone:760-382-1866
Mailing Address - Fax:
Practice Address - Street 1:8678 SPRING MOUNTAIN RD STE 130
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-4104
Practice Address - Country:US
Practice Address - Phone:702-384-0000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB02025111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor