Coleby, Craig Alan

Coleby, Craig Alan is an individual health care provider with primary practice located at 12391 S 4000 W Suite 100, Riverton UT 84096-7012. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Coleby, Craig Alan can be contacted via phone (801) 302-1700.

Contact Information

Primary practice address
12391 S 4000 W Suite 100 Riverton UT 84096-7012
Phone: (801) 302-1700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 7637496-1205 Utah
Allopathic & Osteopathic Physicians / Sports Medicine 2080S0010X 7637496-1205 Utah
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 7637496-1205 Utah

Profile Details

NPI number 1386825024
LBN Legal business name Coleby, Craig Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2007
Last updated Apr 18th, 2024 - about 8 months 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 1386825024 NPPES
Utah MEDICAID 1386825024

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