Corp, Craig C
Corp, Craig C is an individual health care provider with primary practice located at 3100 Douglas Blvd , Roseville CA 95661-3866. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Corp, Craig C can be contacted via phone (916) 779-8500.Contact Information
Primary practice address
3100 Douglas Blvd
Roseville CA 95661-3866
Phone: (916) 779-8500
Fax: (916) 731-3422
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | G84068 | California |
Profile Details
| NPI number | 1821090945 |
|---|---|
| LBN Legal business name | Corp, Craig C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Jul 27th, 2015 - about 9 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 | 1821090945 | NPPES |
| California | MEDICAID | 00G840680 |
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