Ensign, Craig A
Ensign, Craig A is an individual health care provider with primary practice located at 1055 N 300 W Ste 316 , Provo UT 84604-3373. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Ensign, Craig A can be contacted via phone (801) 357-7530.Contact Information
Primary practice address
1055 N 300 W Ste 316
Provo UT 84604-3373
Phone: (801) 357-7530
Fax: (801) 357-7566
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 293156-8906 | Utah |
Profile Details
| NPI number | 1760412605 |
|---|---|
| LBN Legal business name | Ensign, Craig A |
| Credentials | MS-PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1760412605 | NPPES |
| Utah | Other | 96-293156-1206 | PHYS ASSISTANT LIC # |
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