Cragg, David R

Cragg, David R is an individual health care provider with primary practice located at 4600 Investment Dr Suite 200, Troy MI 48098-6365. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Cragg, David R can be contacted via phone (248) 267-5050.

Contact Information

Primary practice address
4600 Investment Dr Suite 200 Troy MI 48098-6365
Fax: (248) 267-5051
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 4301050248 Michigan

Profile Details

NPI number 1811979826
LBN Legal business name Cragg, David R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated May 20th, 2008 - about 16 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 1811979826 NPPES
Michigan Other 00631E HEALTH ALLIANCE PLAN
Michigan MEDICAID 2798550 HEALTH ALLIANCE PLAN
Michigan Other 0606317371 HEALTH ALLIANCE PLAN
Michigan Other 060018401 HEALTH ALLIANCE PLAN

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