Provider Demographics
NPI:1881041499
Name:HUMFELT, CRAIG (DC)
Entity Type:Individual
Prefix:
First Name:CRAIG
Middle Name:
Last Name:HUMFELT
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 1:724 YORKLYN RD STE 150
Mailing Address - Street 2:
Mailing Address - City:HOCKESSIN
Mailing Address - State:DE
Mailing Address - Zip Code:19707-8735
Mailing Address - Country:US
Mailing Address - Phone:302-239-8550
Mailing Address - Fax:302-239-6195
Practice Address - Street 1:724 YORKLYN RD STE 150
Practice Address - Street 2:
Practice Address - City:HOCKESSIN
Practice Address - State:DE
Practice Address - Zip Code:19707-8735
Practice Address - Country:US
Practice Address - Phone:302-239-8550
Practice Address - Fax:302-239-6195
Is Sole Proprietor?:No
Enumeration Date:2016-05-24
Last Update Date:2017-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEF1-0000911111N00000X
VA0104000911111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor