Provider Demographics
NPI:1639155161
Name:SEITZ, CRAIG S (DC, LAC)
Entity type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:S
Last Name:SEITZ
Suffix:
Gender:M
Credentials:DC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7125 E SAHUARO DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-5237
Mailing Address - Country:US
Mailing Address - Phone:480-991-2700
Mailing Address - Fax:480-991-7252
Practice Address - Street 1:7125 E SAHUARO DR
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-5237
Practice Address - Country:US
Practice Address - Phone:480-991-2700
Practice Address - Fax:480-991-7252
Is Sole Proprietor?:No
Enumeration Date:2005-12-16
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4461111N00000X
AZ60171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ481294252OtherEIN
AZ481294252OtherEIN
AZZDC4461Medicare PIN
AZU24992Medicare UPIN