Banull, Craig M.

Banull, Craig M. is an individual health care provider with primary practice located at 1106 Druid Rd S Suite 302, Clearwater FL 33756-3846. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Banull, Craig M. can be contacted via phone (727) 441-3711.

Contact Information

Primary practice address
1106 Druid Rd S Suite 302 Clearwater FL 33756-3846
Phone: (727) 441-3711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME92112 Florida

Profile Details

NPI number 1407894421
LBN Legal business name Banull, Craig M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Aug 18th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407894421 NPPES
Florida Other 16163 BLUE CROSS BLUE SHIELD
Florida Other P00358083 BLUE CROSS BLUE SHIELD
Florida MEDICAID 272753600 BLUE CROSS BLUE SHIELD

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