Cassidy, Craig R
Cassidy, Craig R is an sole proprietor health care provider with primary practice located at 160 W University Suite 1, Mesa AZ 85201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Cassidy, Craig R can be contacted via phone (480) 833-0014.Contact Information
Primary practice address
160 W University Suite 1
Mesa AZ 85201
Phone: (480) 833-0014
Fax: (480) 835-6821
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 1769 | Arizona |
Profile Details
| NPI number | 1063480119 |
|---|---|
| LBN Legal business name | Cassidy, Craig R |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Jul 24th, 2008 - about 16 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 | 1063480119 | NPPES |
| Arizona | MEDICAID | 237314 |
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