Craig, Ethan
Craig, Ethan is an individual health care provider with primary practice located at 3400 Spruce St 5 White, Philadelphia PA 19104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Craig, Ethan can be contacted via phone (215) 662-2454.Contact Information
Primary practice address
3400 Spruce St 5 White
Philadelphia PA 19104
Phone: (215) 662-2454
Fax: (215) 662-7527
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | MD464131 | Pennsylvania |
Profile Details
| NPI number | 1316239874 |
|---|---|
| LBN Legal business name | Craig, Ethan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2011 |
| Last updated | Aug 13th, 2018 - about 7 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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