Provider Demographics
NPI:1154486801
Name:CRAFTON CHIROPRACTIC INC
Entity Type:Organization
Organization Name:CRAFTON CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:B
Authorized Official - Last Name:CRAFTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:251-625-3331
Mailing Address - Street 1:28810 US HIGHWAY 98
Mailing Address - Street 2:SUITE A
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-7256
Mailing Address - Country:US
Mailing Address - Phone:251-625-3331
Mailing Address - Fax:251-625-6195
Practice Address - Street 1:28810 US HIGHWAY 98
Practice Address - Street 2:SUITE A
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-7256
Practice Address - Country:US
Practice Address - Phone:251-625-3331
Practice Address - Fax:251-625-6195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2151111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty