Craddock, Roger Garren

Craddock, Roger Garren is an individual health care provider with primary practice located at 24 Pine Tree Rd , Kewanee IL 61443-9639. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Craddock, Roger Garren can be contacted via phone (309) 854-2522.

Contact Information

Primary practice address
24 Pine Tree Rd Kewanee IL 61443-9639
Phone: (309) 854-2522
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 14431547 Illinois

Profile Details

NPI number 1790427805
LBN Legal business name Craddock, Roger Garren
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2022
Last updated Apr 9th, 2022 - about 2 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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