Healthcare Provider Details

I. General information

NPI: 1427124122
Provider Name (Legal Business Name): CRAIG A DOSSMAN JR. D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/27/2006
Last Update Date: 10/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

585 PINE AVE
LONG BEACH CA
90802
US

IV. Provider business mailing address

585 PINE AVE
LONG BEACH CA
90802
US

V. Phone/Fax

Practice location:
  • Phone: 562-951-0741
  • Fax: 562-684-0222
Mailing address:
  • Phone: 562-951-0741
  • Fax: 562-684-0222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License NumberDC28658
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC28658
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: