Emblidge, Craig Alan

Emblidge, Craig Alan is an individual health care provider with primary practice located at 3 Irongate Center , Glens Falls NY 12801-3471. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Emblidge, Craig Alan can be contacted via phone (518) 793-4409.

Contact Information

Primary practice address
3 Irongate Center Glens Falls NY 12801-3471
Phone: (518) 793-4409
Fax: (518) 793-5886
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 131760 New York

Profile Details

NPI number 1316929193
LBN Legal business name Emblidge, Craig Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Feb 13th, 2008 - about 16 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 1316929193 NPPES
New York Other 000401107001 BLUE SHIELD WNY
New York Other 5155216 BLUE SHIELD WNY
New York Other 021200700170 BLUE SHIELD WNY
New York Other CD1981 BLUE SHIELD WNY
New York Other 00020626501 BLUE SHIELD WNY
New York Other 000401107001 BLUE SHIELD WNY
New York Other 10502264 BLUE SHIELD WNY
New York Other 0022159 BLUE SHIELD WNY
New York MEDICAID 00417565 BLUE SHIELD WNY
New York Other 10000575 BLUE SHIELD WNY
New York Other 08170 BLUE SHIELD WNY
New York Other 28D701 BLUE SHIELD WNY
New York Other NY0023466 BLUE SHIELD WNY
New York Other 000000053973 BLUE SHIELD WNY

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