Provider Demographics
NPI:1225494818
Name:CRANER CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:CRANER CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CARY
Authorized Official - Middle Name:A
Authorized Official - Last Name:CRANER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:419-884-9772
Mailing Address - Street 1:2754 LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:44904-1429
Mailing Address - Country:US
Mailing Address - Phone:419-884-9772
Mailing Address - Fax:419-884-9773
Practice Address - Street 1:2754 LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:OH
Practice Address - Zip Code:44904-1429
Practice Address - Country:US
Practice Address - Phone:419-884-9772
Practice Address - Fax:419-884-9773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-12
Last Update Date:2016-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1899111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty