Provider Demographics
NPI:1336377852
Name:ANGLESEY, CRAIG D (DC)
Entity Type:Individual
Prefix:
First Name:CRAIG
Middle Name:D
Last Name:ANGLESEY
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 1:500 S PINES RD
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99206-5324
Mailing Address - Country:US
Mailing Address - Phone:509-927-8881
Mailing Address - Fax:509-891-6281
Practice Address - Street 1:500 S PINES RD
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-5324
Practice Address - Country:US
Practice Address - Phone:506-927-8881
Practice Address - Fax:509-891-6281
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-23
Last Update Date:2016-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60093659111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor