Craig, Joel S

Craig, Joel S is an individual health care provider with primary practice located at 4039 Highland St Milan Foot Care, Milan TN 38358-3483. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Craig, Joel S can be contacted via phone (731) 723-3668.

Contact Information

Primary practice address
4039 Highland St Milan Foot Care Milan TN 38358-3483
Fax: (731) 723-3601
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 000503 Tennessee

Profile Details

NPI number 1437168390
LBN Legal business name Craig, Joel S
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Oct 18th, 2011 - about 13 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 1437168390 NPPES
Tennessee MEDICAID 3352690

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