Craft, Willie

Craft, Willie is an sole proprietor health care provider with primary practice located at 3130 N County Road 25A , Troy OH 45373-1337. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Craft, Willie can be contacted via phone (937) 440-4466.

Contact Information

Primary practice address
3130 N County Road 25A Troy OH 45373-1337
Phone: (937) 440-4466
Fax: (937) 440-4470
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MT319199 Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35.125076 Ohio

Profile Details

NPI number 1992092696
LBN Legal business name Craft, Willie
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2011
Last updated Nov 5th, 2020 - about 5 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 1992092696 NPPES
Ohio MEDICAID 0112213

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