Craig Alan Ravenscroft, D.C.
Individual provider Active NPI Chiropractor · Frazier Park, CA
NPI 1093730541 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1093730541
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC 21102 (CA)
- Practice address
- 3402 Mt Pinos Way
Frazier Park, CA 93225 - Phone
- (661) 245-3456
- Fax
- (661) 245-1200
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC 21102 | CA | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC 21102 | CA | Yes |
Addresses
Primary practice location
3402 Mt Pinos Way
Frazier Park, CA 93225
Mailing address
PO Box 1500
Frazier Park, CA 93225-1500
Phone (661) 245-3456
Other providers in Frazier Park, CA
- Heather M Oman
- Kathleen Johanna Palmer
- Pine Mountain Nursing Health Center
- Sharon Margaret Powell
- Laurel Quinn
- Jay Arden Robertson
- Russell Lee Physical Therapy Inc
- Rxbiz Pharmacy Inc
- Elliana Suzanne Shillig
- William Shillig
All providers in Frazier Park, CA · Chiropractor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.