Craig, Jeff
Craig, Jeff is an individual health care provider with primary practice located at Hwy 160 Mp 394.3 , Kayenta AZ 86033. He recently has only one registered license in Nursing Service Providers / Emergency, which is considered as his primary health care specialty. Craig, Jeff can be contacted via phone (928) 697-4100.Contact Information
Primary practice address
Hwy 160 Mp 394.3
Kayenta AZ 86033
Phone: (928) 697-4100
Fax: (928) 697-4029
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Emergency | 163WE0003X | 102592 | Colorado |
Profile Details
| NPI number | 1073158572 |
|---|---|
| LBN Legal business name | Craig, Jeff |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2019 |
| Last updated | Nov 8th, 2019 - 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 | 1073158572 | NPPES |
| Arizona | MEDICAID | 060012 | |
| Arizona | Other | 030073 |
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