Provider Demographics
NPI:1124363841
Name:ABRAMS, CRAIG ROBERT (DC)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:ROBERT
Last Name:ABRAMS
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 1:4424 JASMINE AVE
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90232-3429
Mailing Address - Country:US
Mailing Address - Phone:516-241-7114
Mailing Address - Fax:
Practice Address - Street 1:4424 JASMINE AVE
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90232-3429
Practice Address - Country:US
Practice Address - Phone:516-241-7114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-06
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32462111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor