Individual
DR. CRAIG HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
510B SW 5TH TER, WILLISTON, FL 32696-2548
(352) 528-5433
(352) 528-0656
Mailing address
510B SW 5TH TER, WILLISTON, FL 32696-2548
(352) 528-5433
(352) 528-0656
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH4752
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70645
PROVIDER ID
FL
Enumeration date
07/10/2006
Last updated
07/08/2007
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