Persson, John Craig
Persson, John Craig is an individual health care provider with primary practice located at 5 Atkinson Drive Ste #207, Ludington MI 49431. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Persson, John Craig can be contacted via phone (231) 843-3600.Contact Information
Primary practice address
5 Atkinson Drive Ste #207
Ludington MI 49431
Phone: (231) 843-3600
Fax: (231) 845-9887
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 5101008302 | Michigan |
Profile Details
| NPI number | 1033288840 |
|---|---|
| LBN Legal business name | Persson, John Craig |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2006 |
| Last updated | Oct 1st, 2012 - 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 | 1033288840 | NPPES |
| Michigan | Other | 0E310390 | BCBS |
| Michigan | Other | 1155300024 | BCBS |
| Michigan | MEDICAID | 114342346 | BCBS |
| Michigan | Other | DC1085 | BCBS |
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