Anderson, Craig Allan

Anderson, Craig Allan is an individual health care provider with primary practice located at 1120 S Utica Ave Ste 2123, Tulsa OK 74104-4012. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Anderson, Craig Allan can be contacted via phone (918) 579-5402.

Contact Information

Primary practice address
1120 S Utica Ave Ste 2123 Tulsa OK 74104-4012
Phone: (918) 579-5402
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 3083 Oklahoma

Profile Details

NPI number 1184629487
LBN Legal business name Anderson, Craig Allan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Nov 2nd, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1184629487 NPPES
Oklahoma MEDICAID 100063640A
Oklahoma MEDICAID 133957003
Oklahoma MEDICAID 160481101
Oklahoma MEDICAID 100363150A
Oklahoma MEDICAID 206354706

Popular Providers