Provider Demographics
NPI:1447358353
Name:ESSEX, CRAIG (DO)
Entity type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:
Last Name:ESSEX
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2297
Mailing Address - Street 2:1600 CALIFORNIA DRIVE
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95696-8297
Mailing Address - Country:US
Mailing Address - Phone:707-449-6589
Mailing Address - Fax:707-453-7097
Practice Address - Street 1:1600 CALIFORNIA DRIVE
Practice Address - Street 2:VACAVILLE PSYCHIATRIC PROGRAM
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95696-8297
Practice Address - Country:US
Practice Address - Phone:707-449-6589
Practice Address - Fax:707-453-7097
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A 61282084F0202X
HI7302084F0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry