Mahoney, Craig Robert

Mahoney, Craig Robert is an individual health care provider with primary practice located at 450 Laurel St Ste A, Des Moines IA 50314-3045. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mahoney, Craig Robert can be contacted via phone (515) 247-8400.

Contact Information

Primary practice address
450 Laurel St Ste A Des Moines IA 50314-3045
Fax: (515) 248-8888
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 34546 Iowa

Profile Details

NPI number 1770544165
LBN Legal business name Mahoney, Craig Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Jul 20th, 2022 - about 2 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 1770544165 NPPES
Iowa MEDICAID 0261776

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