Provider Demographics
NPI:1922424498
Name:EILBACHER, CRAIG
Entity Type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:
Last Name:EILBACHER
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:CRAIG
Other - Middle Name:
Other - Last Name:EILBACHER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:EDD, ATC, LAT
Mailing Address - Street 1:840 BECKS NURSERY RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27292-7003
Mailing Address - Country:US
Mailing Address - Phone:336-746-4427
Mailing Address - Fax:
Practice Address - Street 1:840 BECKS NURSERY RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NC
Practice Address - Zip Code:27292-7003
Practice Address - Country:US
Practice Address - Phone:336-746-4427
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-08
Last Update Date:2014-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer