Provider Demographics
NPI:1053351734
Name:BIDDLE, CRAIG L (DC)
Entity type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:L
Last Name:BIDDLE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1276 METTLER RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-2716
Mailing Address - Country:US
Mailing Address - Phone:215-947-2225
Mailing Address - Fax:215-947-3510
Practice Address - Street 1:2600 PHILMONT AVENUE
Practice Address - Street 2:SUITE 322
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006
Practice Address - Country:US
Practice Address - Phone:215-947-2225
Practice Address - Fax:215-947-3510
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006957L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAU68406Medicare UPIN
PA909555Medicare ID - Type Unspecified