Perrien, Craig
Perrien, Craig is an individual health care provider with primary practice located at 1400 S Coulter St , Amarillo TX 79106-1786. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine is his primary health care specialty. Perrien, Craig can be contacted via phone (806) 414-9100.Contact Information
Primary practice address
1400 S Coulter St
Amarillo TX 79106-1786
Phone: (806) 414-9100
Fax: (806) 354-5717
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine | 363LC0200X | 717836 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 717836 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 717836 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine | 363LC0200X | AP125105 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP125105 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | AP125105 | Texas |
Profile Details
| NPI number | 1750711172 |
|---|---|
| LBN Legal business name | Perrien, Craig |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2013 |
| Last updated | Mar 27th, 2017 - about 8 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 | 1750711172 | NPPES |
| New Mexico | MEDICAID | 08472254 | |
| New Mexico | MEDICAID | 329616202 | |
| New Mexico | MEDICAID | 200520990 A | |
| New Mexico | MEDICAID | 329616201 |
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