Egan, John Craig

Egan, John Craig is an individual health care provider with primary practice located at 1920 E Cambridge Ave # 201, Phoenix AZ 85006. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Egan, John Craig can be contacted via phone (602) 254-5561.

Contact Information

Primary practice address
1920 E Cambridge Ave # 201 Phoenix AZ 85006
Phone: (602) 254-5561
Fax: (602) 254-2185
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 49127020 Wisconsin
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 40388 Arizona

Profile Details

NPI number 1558418590
LBN Legal business name Egan, John Craig
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Dec 13th, 2016 - about 8 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 1558418590 NPPES
Arizona MEDICAID 337256

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