Davis, Craig T

Davis, Craig T is an individual health care provider with primary practice located at 405 W Jackson St , Carbondale IL 62901-1467. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Davis, Craig T can be contacted via phone (618) 549-0721.

Contact Information

Primary practice address
405 W Jackson St Carbondale IL 62901-1467
Phone: (618) 549-0721
Fax: (618) 529-0479
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-107008 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036-107008 Illinois

Profile Details

NPI number 1134201213
LBN Legal business name Davis, Craig T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Jun 1st, 2021 - about 3 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 1134201213 NPPES
North Carolina MEDICAID 5910517
North Carolina Other P00354534

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