Provider Demographics
NPI:1003637562
Name:CRANE, HALEY (DC)
Entity type:Individual
Prefix:DR
First Name:HALEY
Middle Name:
Last Name:CRANE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4037 WATERCRAFT FERRY AVE UNIT 112
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28412-6275
Mailing Address - Country:US
Mailing Address - Phone:336-944-1723
Mailing Address - Fax:
Practice Address - Street 1:2709 MARKET ST STE 205D
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-0002
Practice Address - Country:US
Practice Address - Phone:910-660-9263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-17
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5830111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor