Craig, Jeffrey Alan
Craig, Jeffrey Alan is an individual health care provider with primary practice located at 3010 Fountain Drive , Conway AR 72034-3684. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Craig, Jeffrey Alan can be contacted via phone (501) 328-0055.Contact Information
Primary practice address
3010 Fountain Drive
Conway AR 72034-3684
Phone: (501) 328-0055
Fax: (501) 328-2194
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | C8246 | Arkansas |
Profile Details
| NPI number | 1215915608 |
|---|---|
| LBN Legal business name | Craig, Jeffrey Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2006 |
| Last updated | Oct 13th, 2016 - about 8 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 | 1215915608 | NPPES |
| Arkansas | Other | 5J761 | BLUE CROSS ID |
| Arkansas | MEDICAID | 127657001 | BLUE CROSS ID |
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