Provider Demographics
NPI:1619909462
Name:YINGLING, CRAIG D (ATC)
Entity Type:Individual
Prefix:
First Name:CRAIG
Middle Name:D
Last Name:YINGLING
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 MONITOR CT
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-3667
Mailing Address - Country:US
Mailing Address - Phone:410-546-0230
Mailing Address - Fax:410-546-4140
Practice Address - Street 1:1000 MONITOR CT
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-3667
Practice Address - Country:US
Practice Address - Phone:410-546-0230
Practice Address - Fax:410-546-4140
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer