Craythorn, Judy M
Craythorn, Judy M is an individual health care provider with primary practice located at 3575 Pecos Mcleod , Las Vegas NV 89121-3803. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Craythorn, Judy M can be contacted via phone (702) 731-2088.Contact Information
Primary practice address
3575 Pecos Mcleod
Las Vegas NV 89121-3803
Phone: (702) 731-2088
Fax: (702) 734-7836
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 5468 | Nevada |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 171870-1205 | Utah |
Profile Details
| NPI number | 1295795052 |
|---|---|
| LBN Legal business name | Craythorn, Judy M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Feb 6th, 2014 - about 11 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 | 1295795052 | NPPES |
| Nevada | MEDICAID | 002002787 | |
| Nevada | Other | 1218020001 | |
| Nevada | Other | 5010 | |
| Nevada | Other | 5468 | |
| Nevada | Other | P00454782 |
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