Craycraft, Ryan C

Craycraft, Ryan C is an individual health care provider with primary practice located at 75 Sylvania Dr , Beavercreek OH 45440-3237. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Craycraft, Ryan C can be contacted via phone (937) 320-5050.

Contact Information

Primary practice address
75 Sylvania Dr Beavercreek OH 45440-3237
Fax: (937) 320-5060
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50.004151RX Ohio

Profile Details

NPI number 1801283981
LBN Legal business name Craycraft, Ryan C
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2015
Last updated Aug 21st, 2020 - about 4 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 1801283981 NPPES
Ohio MEDICAID 0160786

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