Gilcrease, Craig K

Gilcrease, Craig K is an individual health care provider with primary practice located at 502 Elm St Ne , Albuquerque NM 87102-2512. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Gilcrease, Craig K can be contacted via phone (505) 841-1000.

Contact Information

Primary practice address
502 Elm St Ne Albuquerque NM 87102-2512
Fax: (505) 843-2592
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA2003-0047 New Mexico

Profile Details

NPI number 1265581185
LBN Legal business name Gilcrease, Craig K
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Aug 1st, 2014 - 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 1265581185 NPPES
Arizona Other P00428450 RAILROAD MEDICARE
Arizona MEDICAID 223634 RAILROAD MEDICARE

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