Individual
MR. CRAIG A. NIVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2431 W 26TH ST, ERIE, PA 16506-3220
(814) 504-3431
(814) 838-8702
Mailing address
2431 W 26TH ST, ERIE, PA 16506-3220
(814) 504-3431
(814) 838-8702
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
8814
OH
Other
Enumeration date
07/25/2007
Last updated
07/25/2007
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