Provider Demographics
NPI:1730142720
Name:OYLER, CRAIG S (DC)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:S
Last Name:OYLER
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 1:7539 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068
Mailing Address - Country:US
Mailing Address - Phone:614-863-0111
Mailing Address - Fax:614-863-6334
Practice Address - Street 1:7539 E MAIN ST
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068
Practice Address - Country:US
Practice Address - Phone:614-863-0111
Practice Address - Fax:614-863-6334
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-10
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH974111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0528978Medicaid
000000118340OtherANTHEM
OH31107583800OtherBWC
0542631Medicare ID - Type Unspecified
T47980Medicare UPIN