Craig, Timothy Eric

Craig, Timothy Eric is an individual health care provider with primary practice located at 3700 Washington Ave St Marys Medical Center Anesthesia Dept, Evansville IN 47750. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Craig, Timothy Eric can be contacted via phone (812) 473-4000.

Contact Information

Primary practice address
3700 Washington Ave St Marys Medical Center Anesthesia Dept Evansville IN 47750
Phone: (812) 473-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 01039299A Indiana
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 01039299A Indiana

Profile Details

NPI number 1891736831
LBN Legal business name Craig, Timothy Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated May 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891736831 NPPES
Indiana Other 000000040939 BLUE SHIELD
Indiana MEDICAID 64878267 BLUE SHIELD
Indiana MEDICAID 100473990 BLUE SHIELD
Indiana Other 050033050 BLUE SHIELD

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