Craig, Jean E

Craig, Jean E is an individual health care provider with primary practice located at 1400 1St St Ne , New Prague MN 56071-2215. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Craig, Jean E can be contacted via phone (952) 758-2535.

Contact Information

Primary practice address
1400 1St St Ne New Prague MN 56071-2215
Phone: (952) 758-2535
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 36780 Iowa
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 50488 Minnesota

Profile Details

NPI number 1841212677
LBN Legal business name Craig, Jean E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Jun 16th, 2008 - about 16 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 1841212677 NPPES
Iowa MEDICAID 472340

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