Kimmel, Craig S.
Kimmel, Craig S. is an individual health care provider with primary practice located at 1 Brace Road Suite B, Cherry Hill NJ 08034. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Kimmel, Craig S. can be contacted via phone (856) 470-9029.Contact Information
Primary practice address
1 Brace Road Suite B
Cherry Hill NJ 08034
Phone: (856) 470-9029
Fax: (856) 428-4053
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 25MA05473800 | New Jersey |
Profile Details
NPI number | 1255307591 |
---|---|
LBN Legal business name | Kimmel, Craig S. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 27th, 2006 |
Last updated | Jun 25th, 2013 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1255307591 | NPPES |
New Jersey | MEDICAID | 2223902 |
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