Provider Demographics
NPI:1730171463
Name:FRENCH, CRAIG T (DC)
Entity type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:T
Last Name:FRENCH
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 1:118 FOX PLAN RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2706
Mailing Address - Country:US
Mailing Address - Phone:412-372-5900
Mailing Address - Fax:
Practice Address - Street 1:118 FOX PLAN RD
Practice Address - Street 2:SUITE 100
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2706
Practice Address - Country:US
Practice Address - Phone:412-372-5900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-18
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC005563L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA764782OtherBCBS RENDERING PROVIDER I
PA200410231OtherCOMMERCIAL
PA1606122OtherBCBS ASSIGNMENT ACCOUNT
PAU49128Medicare UPIN
PA786782Medicare ID - Type UnspecifiedMEDICARE