Craig, Kevin J

Craig, Kevin J is an individual health care provider with primary practice located at 11607 N Sparrow Ln , Fountain Hills AZ 85268-5045. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Craig, Kevin J can be contacted via phone (517) 402-5811.

Contact Information

Primary practice address
11607 N Sparrow Ln Fountain Hills AZ 85268-5045
Phone: (517) 402-5811
Fax: (480) 718-7651
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 4301072786 Michigan

Profile Details

NPI number 1952456816
LBN Legal business name Craig, Kevin J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Jan 13th, 2017 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952456816 NPPES
Michigan Other 383694638 TAX ID
Michigan MEDICAID 4625913 TAX ID

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