Feaster, Craig Sherman

Feaster, Craig Sherman is an individual health care provider with primary practice located at 320 Rolling Ridge Dr Suite 100, State College PA 16801-7641. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Feaster, Craig Sherman can be contacted via phone (814) 867-0670.

Contact Information

Primary practice address
320 Rolling Ridge Dr Suite 100 State College PA 16801-7641
Phone: (814) 867-0670
Fax: (814) 867-7616
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X MD 072243 L Pennsylvania

Profile Details

NPI number 1912905795
LBN Legal business name Feaster, Craig Sherman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Jun 20th, 2013 - about 11 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 1912905795 NPPES
Pennsylvania MEDICAID 18467600002

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