Harms, Craig Kenneth

Harms, Craig Kenneth is an individual health care provider with primary practice located at 163 E Bethalto Dr , Bethalto IL 62010-1801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Harms, Craig Kenneth can be contacted via phone (618) 433-6490.

Contact Information

Primary practice address
163 E Bethalto Dr Bethalto IL 62010-1801
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036109847 Illinois

Profile Details

NPI number 1598878373
LBN Legal business name Harms, Craig Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Oct 15th, 2021 - about 4 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 1598878373 NPPES
Illinois MEDICAID 0361098472

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