Provider Demographics
NPI:1639221146
Name:DEBBIE J CRAVEN PLLC
Entity Type:Organization
Organization Name:DEBBIE J CRAVEN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:CRAVEN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:248-644-8454
Mailing Address - Street 1:3665 E 11 MILE RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48092-4300
Mailing Address - Country:US
Mailing Address - Phone:248-644-8454
Mailing Address - Fax:248-644-8493
Practice Address - Street 1:3665 E 11 MILE RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48092-4300
Practice Address - Country:US
Practice Address - Phone:248-644-8454
Practice Address - Fax:248-644-8493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty