Craig, Earl J
Craig, Earl J is an individual health care provider with primary practice located at 717 S Rogers St , Bloomington IN 47403-2335. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Craig, Earl J can be contacted via phone (812) 337-0700.Contact Information
Primary practice address
717 S Rogers St
Bloomington IN 47403-2335
Phone: (812) 337-0700
Fax: (812) 337-0714
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 01041874 | Indiana |
Profile Details
| NPI number | 1912989716 |
|---|---|
| LBN Legal business name | Craig, Earl J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Oct 6th, 2020 - about 4 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 | 1912989716 | NPPES |
| Indiana | MEDICAID | 200096010 |
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