Reid, Craig N
Reid, Craig N is an individual health care provider with primary practice located at 1100 West Stewart Drive , Orange CA 92868-3849. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Reid, Craig N can be contacted via phone (714) 633-9111.Contact Information
Primary practice address
1100 West Stewart Drive
Orange CA 92868-3849
Phone: (714) 633-9111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA13560 | California |
Profile Details
| NPI number | 1336164102 |
|---|---|
| LBN Legal business name | Reid, Craig N |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Apr 30th, 2008 - about 17 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 | 1336164102 | NPPES |
| California | MEDICAID | PA13560 |
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