Craig, Elise

Craig, Elise is an individual health care provider with primary practice located at 1133 Medina Rd Ste 100 , Medina OH 44256-5913. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Craig, Elise can be contacted via phone (330) 239-4350.

Contact Information

Primary practice address
1133 Medina Rd Ste 100 Medina OH 44256-5913
Phone: (330) 239-4350
Fax: (330) 239-4584
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 34.014914 Ohio

Profile Details

NPI number 1922533876
LBN Legal business name Craig, Elise
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2017
Last updated Jul 14th, 2021 - about 3 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 1922533876 NPPES
Ohio Other 34.014914 OHIO MEDICAL LICENSE

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