Edmonds, Craig

Edmonds, Craig is an individual health care provider with primary practice located at 1150 Professional Court Suite B, Hagerstown MD 21740. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Edmonds, Craig can be contacted via phone (301) 797-8788.

Contact Information

Primary practice address
1150 Professional Court Suite B Hagerstown MD 21740
Fax: (301) 797-2218
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X D0019253 Maryland

Profile Details

NPI number 1134133028
LBN Legal business name Edmonds, Craig
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Jun 29th, 2012 - about 13 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 1134133028 NPPES
Maryland MEDICAID 967711900

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