Craig, Susan K
Craig, Susan K is an individual health care provider with primary practice located at 3070 College St Suite 120, Beaumont TX 77701-4691. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Craig, Susan K can be contacted via phone (409) 835-2300.Contact Information
Primary practice address
3070 College St Suite 120
Beaumont TX 77701-4691
Phone: (409) 835-2300
Fax: (409) 835-2375
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | K2884 | Texas |
Profile Details
| NPI number | 1043219033 |
|---|---|
| LBN Legal business name | Craig, Susan K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Oct 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043219033 | NPPES |
| Texas | Other | 8AJ613 | BCBS PROVIDER NUMBER |
| Texas | MEDICAID | 142758501 | BCBS PROVIDER NUMBER |
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