Craggs, Maxx M
Craggs, Maxx M is an individual health care provider with primary practice located at 900 W Springfield Rd , Taylorville IL 62568-1299. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Craggs, Maxx M can be contacted via phone (217) 824-4991.Contact Information
Primary practice address
900 W Springfield Rd
Taylorville IL 62568-1299
Phone: (217) 824-4991
Fax: (217) 824-5414
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046010871 | Illinois |
Profile Details
| NPI number | 1942680228 |
|---|---|
| LBN Legal business name | Craggs, Maxx M |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2015 |
| Last updated | Jun 2nd, 2015 - about 10 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 | 1942680228 | NPPES |
| Illinois | MEDICAID | 046010871 |
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