Craddock, Jeffrey Alan
Craddock, Jeffrey Alan is an individual health care provider with primary practice located at 901 Bell St , Conway SC 29526-4113. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Craddock, Jeffrey Alan can be contacted via phone (843) 488-1300.Contact Information
Primary practice address
901 Bell St
Conway SC 29526-4113
Phone: (843) 488-1300
Fax: (843) 488-1330
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1184061525 |
|---|---|
| LBN Legal business name | Craddock, Jeffrey Alan |
| Credentials | MA, CACP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2013 |
| Last updated | May 24th, 2013 - about 12 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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