Godfrey, Craig R

Godfrey, Craig R is an individual health care provider with primary practice located at 765 Liberty St Suite # 301, Meadville PA 16335-2566. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Godfrey, Craig R can be contacted via phone (814) 724-8363.

Contact Information

Primary practice address
765 Liberty St Suite # 301 Meadville PA 16335-2566
Fax: (814) 724-8343
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS004699L Pennsylvania

Profile Details

NPI number 1376575738
LBN Legal business name Godfrey, Craig R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Feb 13th, 2008 - about 17 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 1376575738 NPPES
Pennsylvania Other 127917 BLUE CROSS / SHIELD

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