Provider Demographics
NPI:1598890410
Name:ROWLAND, CRAIG L (HIS)
Entity Type:Individual
Prefix:
First Name:CRAIG
Middle Name:L
Last Name:ROWLAND
Suffix:
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 S WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:MILLERSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44654-1701
Mailing Address - Country:US
Mailing Address - Phone:330-674-4327
Mailing Address - Fax:339-674-0708
Practice Address - Street 1:6 S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:MILLERSBURG
Practice Address - State:OH
Practice Address - Zip Code:44654-1701
Practice Address - Country:US
Practice Address - Phone:330-674-4327
Practice Address - Fax:339-674-0708
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2571237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2598130Medicaid