Provider Demographics
NPI:1336121409
Name:HOKANSON, CRAIG A (DC)
Entity type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:A
Last Name:HOKANSON
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 1:173 PORCUPINE CIR
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03079-4862
Mailing Address - Country:US
Mailing Address - Phone:774-696-3512
Mailing Address - Fax:
Practice Address - Street 1:173 PORCUPINE CIR
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-4862
Practice Address - Country:US
Practice Address - Phone:774-696-3512
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH893111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAU80430Medicare UPIN
Y45344Medicare ID - Type Unspecified