Craig, Mark H
Craig, Mark H is an sole proprietor health care provider with primary practice located at 2147 Southridge Dr , Tupelo MS 38801-6405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Craig, Mark H can be contacted via phone (662) 377-6290.Contact Information
Primary practice address
2147 Southridge Dr
Tupelo MS 38801-6405
Phone: (662) 377-6290
Fax: (662) 377-6295
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 12830 | Mississippi |
Profile Details
| NPI number | 1932189818 |
|---|---|
| LBN Legal business name | Craig, Mark H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2006 |
| Last updated | May 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932189818 | NPPES |
| Mississippi | MEDICAID | 00112173 |
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