Provider Demographics
NPI:1497738660
Name:CRAIG, ELIZABETH D (DC)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:D
Last Name:CRAIG
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1203 E WOOD ST
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TN
Mailing Address - Zip Code:38242-4317
Mailing Address - Country:US
Mailing Address - Phone:731-642-3761
Mailing Address - Fax:731-642-3762
Practice Address - Street 1:1203 E WOOD ST
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TN
Practice Address - Zip Code:38242-4317
Practice Address - Country:US
Practice Address - Phone:731-642-3761
Practice Address - Fax:731-642-3762
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-22
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC000798111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNU29081Medicare UPIN
TN3676200Medicare ID - Type Unspecified