Craighead, Jonathan M

Craighead, Jonathan M is an individual health care provider with primary practice located at 1225 West Stadium Blvd , Jefferson City MO 65109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Craighead, Jonathan M can be contacted via phone (573) 635-8000.

Contact Information

Primary practice address
1225 West Stadium Blvd Jefferson City MO 65109
Phone: (573) 635-8000
Fax: (573) 556-1710
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 2004010827 Missouri

Profile Details

NPI number 1346226289
LBN Legal business name Craighead, Jonathan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Jun 28th, 2023 - about 2 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 1346226289 NPPES
Missouri Other P00233081 MEDICARE RAILROAD
Missouri MEDICAID 207392408 MEDICARE RAILROAD
Missouri Other CD6058 MEDICARE RAILROAD

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