Craig, Farah Gail
Craig, Farah Gail is an individual health care provider with primary practice located at 1171 W Tipton St Ste D , Seymour IN 47274-2794. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Craig, Farah Gail can be contacted via phone (812) 524-8780.Contact Information
Primary practice address
1171 W Tipton St Ste D
Seymour IN 47274-2794
Phone: (812) 524-8780
Fax: (812) 524-8746
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | NP.10034 | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 28149810A | Indiana |
Profile Details
| NPI number | 1750587309 |
|---|---|
| LBN Legal business name | Craig, Farah Gail |
| Credentials | Pediatric Nurse Practitioner (PNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2007 |
| Last updated | Oct 13th, 2020 - about 5 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 | 1750587309 | NPPES |
| Indiana | Other | 28149810A | INDIANA LICENSE |
| Indiana | MEDICAID | 2829818 | INDIANA LICENSE |
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