Provider Demographics
NPI:1437773157
Name:CRAIG, JAMES L
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:L
Last Name:CRAIG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15627 ELEANORE DR
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44135-1331
Mailing Address - Country:US
Mailing Address - Phone:216-624-3717
Mailing Address - Fax:
Practice Address - Street 1:15627 ELEANORE DR
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44135-1331
Practice Address - Country:US
Practice Address - Phone:216-624-3717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-29
Last Update Date:2020-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide