Furry, Craig W

Furry, Craig W is an sole proprietor health care provider with primary practice located at 20 N Washington St Suite 2, Du Quoin IL 62832-1403. He recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rural Health, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Furry, Craig W can be contacted via phone (618) 542-2129.

Contact Information

Primary practice address
20 N Washington St Suite 2 Du Quoin IL 62832-1403
Phone: (618) 542-2129
Fax: (618) 542-2903
Website:
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Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036067057 Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036067057 Illinois

Profile Details

NPI number 1609864750
LBN Legal business name Furry, Craig W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2005
Last updated Feb 8th, 2017 - 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 1609864750 NPPES
Illinois Other 744481 MEDICARE NUMBER
Illinois MEDICAID 036067057-3 MEDICARE NUMBER
Illinois Other P00173490 MEDICARE NUMBER

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