Provider Demographics
NPI:1134219652
Name:GEORGE, CRAIG W (DC)
Entity type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:W
Last Name:GEORGE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:401 W EADS PKWY STE 320
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47025-1374
Mailing Address - Country:US
Mailing Address - Phone:812-539-2900
Mailing Address - Fax:812-539-2999
Practice Address - Street 1:124 CROSS COUNTY PLZ
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:IN
Practice Address - Zip Code:47006-8833
Practice Address - Country:US
Practice Address - Phone:812-539-2900
Practice Address - Fax:812-539-2999
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001964A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000495636OtherANTHEM
IN200329480AMedicaid
IN200329480AMedicaid