Craig, Phillip James

Craig, Phillip James is an individual health care provider with primary practice located at 6405 France Ave S #W440, Edina MN 55435-2163. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Craig, Phillip James can be contacted via phone (952) 927-7004.

Contact Information

Primary practice address
6405 France Ave S #W440 Edina MN 55435-2163
Phone: (952) 927-7004
Fax: (952) 927-5146
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 9925 Minnesota

Profile Details

NPI number 1659340669
LBN Legal business name Craig, Phillip James
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Dec 9th, 2014 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1659340669 NPPES
Minnesota MEDICAID 377115600

Popular Providers