Healthcare Provider Details

I. General information

NPI: 1003897471
Provider Name (Legal Business Name): CRAIG JOSEPH MILADIN DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2005
Last Update Date: 04/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48892 CALCUTTA SMITH-FERRY RD
EAST LIVERPOOL OH
43920
US

IV. Provider business mailing address

48892 CALCUTTA SMITH-FERRY RD
EAST LIVERPOOL OH
43920
US

V. Phone/Fax

Practice location:
  • Phone: 330-382-7350
  • Fax: 330-382-7353
Mailing address:
  • Phone: 330-382-7350
  • Fax: 330-382-7353

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberOH3070
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: