Provider Demographics
NPI:1124198841
Name:CRANFORD, JAMES F JR (DC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:F
Last Name:CRANFORD
Suffix:JR
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:PO BOX 453
Mailing Address - Street 2:
Mailing Address - City:EDENTON
Mailing Address - State:NC
Mailing Address - Zip Code:27932-0453
Mailing Address - Country:US
Mailing Address - Phone:252-482-4900
Mailing Address - Fax:252-482-1660
Practice Address - Street 1:701 N BROAD ST
Practice Address - Street 2:
Practice Address - City:EDENTON
Practice Address - State:NC
Practice Address - Zip Code:27932-1430
Practice Address - Country:US
Practice Address - Phone:252-482-4900
Practice Address - Fax:252-482-1660
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2010-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2265111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890835PMedicaid
NC890835PMedicaid
NCU74463Medicare UPIN