Provider Demographics
NPI:1730138124
Name:DAY, CRAIG ALAN (CHIROPRACTOR)
Entity Type:Individual
Prefix:
First Name:CRAIG
Middle Name:ALAN
Last Name:DAY
Suffix:
Gender:M
Credentials:CHIROPRACTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1117
Mailing Address - Street 2:
Mailing Address - City:SKIATOOK
Mailing Address - State:OK
Mailing Address - Zip Code:74070-5117
Mailing Address - Country:US
Mailing Address - Phone:918-742-2094
Mailing Address - Fax:918-742-2095
Practice Address - Street 1:3023 S HARVARD AVE
Practice Address - Street 2:SUITE B
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74114-6139
Practice Address - Country:US
Practice Address - Phone:918-742-2094
Practice Address - Fax:918-742-2095
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-10
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2219111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
QDCKBMedicare ID - Type Unspecified