Craddock, Robert Quenton

Craddock, Robert Quenton is an individual health care provider with primary practice located at 513 Brookwood Blvd Ste. 75, Birmingham AL 35209-6862. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Craddock, Robert Quenton can be contacted via phone (205) 250-6805.

Contact Information

Primary practice address
513 Brookwood Blvd Ste. 75 Birmingham AL 35209-6862
Phone: (205) 250-6805
Fax: (205) 250-6580
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 6319 Alabama

Profile Details

NPI number 1316990005
LBN Legal business name Craddock, Robert Quenton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Mar 24th, 2010 - about 14 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 1316990005 NPPES
Alabama MEDICAID 000005713

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