Andrus, Craig Alan
Andrus, Craig Alan is an individual health care provider with primary practice located at 18 Phlox Dr , Lafayette LA 70507-4538. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Andrus, Craig Alan can be contacted via phone (337) 654-1457.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | 1520 | Louisiana |
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | Louisiana |
Profile Details
| NPI number | 1649048810 |
|---|---|
| LBN Legal business name | Andrus, Craig Alan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2023 |
| Last updated | Dec 18th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649048810 | NPPES |
| Louisiana | MEDICAID | 1520 |
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