Craddock, Mark Farabee
Craddock, Mark Farabee is an individual health care provider with primary practice located at 4700 Point Fosdick Dr , Gig Harbor WA 98335-1706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Craddock, Mark Farabee can be contacted via phone (253) 851-5121.Contact Information
Primary practice address
4700 Point Fosdick Dr
Gig Harbor WA 98335-1706
Phone: (253) 851-5121
Fax: (253) 851-3059
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00020137 | Washington |
Profile Details
| NPI number | 1497728901 |
|---|---|
| LBN Legal business name | Craddock, Mark Farabee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | May 19th, 2021 - about 3 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 | 1497728901 | NPPES |
| Washington | MEDICAID | 8344509 |
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