Craddock, John A.

Craddock, John A. is an individual health care provider with primary practice located at 13123 East 16Th Avenue ; B115 , Aurora CO 80045. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is his primary health care specialty. Craddock, John A. can be contacted via phone (720) 777-6892.

Contact Information

Primary practice address
13123 East 16Th Avenue ; B115 Aurora CO 80045
Phone: (720) 777-6892
Fax: (720) 777-7289
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X N0711 Texas
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X N0711 Texas

Profile Details

NPI number 1073763140
LBN Legal business name Craddock, John A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2008
Last updated Dec 12th, 2012 - about 13 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 1073763140 NPPES
Colorado MEDICAID 82387273

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