Longworth, Craig William
Longworth, Craig William is an sole proprietor health care provider with primary practice located at 7023 Mears Gate Dr Nw , North Canton OH 44720-8849. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Longworth, Craig William can be contacted via phone (330) 494-5554.Contact Information
Primary practice address
7023 Mears Gate Dr Nw
North Canton OH 44720-8849
Phone: (330) 494-5554
Fax: (330) 494-2792
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1331 | Ohio |
Profile Details
| NPI number | 1063518298 |
|---|---|
| LBN Legal business name | Longworth, Craig William |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063518298 | NPPES |
| Ohio | Other | 000000134672 | ANTHEM BCBS |
| Ohio | MEDICAID | 0698384 | ANTHEM BCBS |
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