Craddock, John P
Craddock, John P is an individual health care provider with primary practice located at 310 N L Rogers Wells Blvd , Glasgow KY 42141-1300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Craddock, John P can be contacted via phone (270) 659-5865.Contact Information
Primary practice address
310 N L Rogers Wells Blvd
Glasgow KY 42141-1300
Phone: (270) 659-5865
Fax: (270) 659-5854
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 34314 | Kentucky |
Profile Details
| NPI number | 1184767196 |
|---|---|
| LBN Legal business name | Craddock, John P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Mar 1st, 2023 - about last year |
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 | 1184767196 | NPPES |
| Kentucky | MEDICAID | 64036940 |
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