Kirby, Craig R

Kirby, Craig R is an individual health care provider with primary practice located at 20 Elm St Family Practice Assoc., Pittsfield MA 01201-6502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kirby, Craig R can be contacted via phone (413) 442-1019.

Contact Information

Primary practice address
20 Elm St Family Practice Assoc. Pittsfield MA 01201-6502
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 78690 Massachusetts

Profile Details

NPI number 1689632556
LBN Legal business name Kirby, Craig R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Aug 3rd, 2010 - about 14 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 1689632556 NPPES
Massachusetts MEDICAID 3119459

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