Provider Demographics
NPI:1609835727
Name:CRAIGLOW, DANA COX (DC)
Entity Type:Individual
Prefix:MRS
First Name:DANA
Middle Name:COX
Last Name:CRAIGLOW
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 1:821 HOGAN LANE
Mailing Address - Street 2:STE 500
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034
Mailing Address - Country:US
Mailing Address - Phone:501-513-2225
Mailing Address - Fax:501-513-2225
Practice Address - Street 1:821 HOGAN LANE
Practice Address - Street 2:STE 500
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72034
Practice Address - Country:US
Practice Address - Phone:501-513-2225
Practice Address - Fax:501-513-2225
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1638111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARVO1717Medicare UPIN
AR5Y053Medicare ID - Type Unspecified