Provider Demographics
NPI:1154460699
Name:CRAIG SMITH CHIROPRACTIC PC
Entity Type:Organization
Organization Name:CRAIG SMITH CHIROPRACTIC PC
Other - Org Name:SMITH CHIROPRACTIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:R
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-437-2500
Mailing Address - Street 1:654 MORGANTOWN RD
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-5422
Mailing Address - Country:US
Mailing Address - Phone:724-437-2500
Mailing Address - Fax:724-437-5617
Practice Address - Street 1:654 MORGANTOWN RD
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-5422
Practice Address - Country:US
Practice Address - Phone:724-437-2500
Practice Address - Fax:724-437-5617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2014-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC005514L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty