Craig, William Randy
Craig, William Randy is an individual health care provider with primary practice located at 100 Mercy Way Suite 320-330, Joplin MO 64804-4524. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Craig, William Randy can be contacted via phone (417) 781-5387.Contact Information
Primary practice address
100 Mercy Way Suite 320-330
Joplin MO 64804-4524
Phone: (417) 781-5387
Fax: (417) 781-7174
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 103131 | Missouri |
Profile Details
| NPI number | 1831130020 |
|---|---|
| LBN Legal business name | Craig, William Randy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Mar 16th, 2016 - 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 | 1831130020 | NPPES |
| Oklahoma | MEDICAID | 100257960B | |
| Oklahoma | MEDICAID | 100311550G | |
| Oklahoma | Other | P00800262 | |
| Oklahoma | MEDICAID | 1831130020 |
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