Provider Demographics
NPI:1093872269
Name:TUSHAUS, CRAIG W (DC)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:W
Last Name:TUSHAUS
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 1:14843 NINEBARK CT
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638-6919
Mailing Address - Country:US
Mailing Address - Phone:314-541-7493
Mailing Address - Fax:
Practice Address - Street 1:9035 LITTLE RD
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34654-4221
Practice Address - Country:US
Practice Address - Phone:727-861-2319
Practice Address - Fax:727-861-2359
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2018-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH10448111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor