Provider Demographics
NPI:1689741027
Name:AUGUST, CRAIG B (DC)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:B
Last Name:AUGUST
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:695 NE 126 ST
Mailing Address - Street 2:
Mailing Address - City:N MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161
Mailing Address - Country:US
Mailing Address - Phone:305-896-7979
Mailing Address - Fax:305-893-7980
Practice Address - Street 1:695 NE 126 ST
Practice Address - Street 2:
Practice Address - City:N MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161
Practice Address - Country:US
Practice Address - Phone:305-896-7979
Practice Address - Fax:305-893-7980
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH4263111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL70810Medicare ID - Type Unspecified
FLT85507Medicare UPIN