Provider Demographics
NPI:1295780740
Name:CRAWFORD, STEVE E (DC)
Entity type:Individual
Prefix:DR
First Name:STEVE
Middle Name:E
Last Name:CRAWFORD
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 1:3103 CYPRESS ST STE 4
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71291-5270
Mailing Address - Country:US
Mailing Address - Phone:318-322-2250
Mailing Address - Fax:318-412-9050
Practice Address - Street 1:3103 CYPRESS ST STE 4
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-5270
Practice Address - Country:US
Practice Address - Phone:318-322-2250
Practice Address - Fax:318-322-1114
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-23
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1315111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA4C794CQ65Medicare ID - Type UnspecifiedIND # LINKED TO CLINIC