Maltman, Craig James

Maltman, Craig James is an individual health care provider with primary practice located at 652 N. Cedar Avenue , Cookeville TN 38501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Maltman, Craig James can be contacted via phone (931) 520-0116.

Contact Information

Primary practice address
652 N. Cedar Avenue Cookeville TN 38501
Phone: (931) 520-0116
Fax: (931) 526-1865
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD026814 Tennessee
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M.D.26814 Tennessee

Profile Details

NPI number 1316939853
LBN Legal business name Maltman, Craig James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Dec 15th, 2009 - about 15 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 1316939853 NPPES
Tennessee MEDICAID 3096235
Tennessee MEDICAID 1509091

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