Connor, Craig W

Connor, Craig W is an individual health care provider with primary practice located at 560 N Camino Mercado Suite 7, Casa Grande AZ 85122-5759. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Connor, Craig W can be contacted via phone (520) 836-5538.

Contact Information

Primary practice address
560 N Camino Mercado Suite 7 Casa Grande AZ 85122-5759
Fax: (520) 836-6998
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1213 Arizona

Profile Details

NPI number 1215923206
LBN Legal business name Connor, Craig W
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Feb 23rd, 2010 - about 14 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 1215923206 NPPES
Arizona MEDICAID 253089

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