Rezac, Craig
Rezac, Craig is an individual health care provider with primary practice located at 1625 N George Mason Dr Ste 334 , Arlington VA 22205-3690. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Rezac, Craig can be contacted via phone (703) 717-4180.Contact Information
Primary practice address
1625 N George Mason Dr Ste 334
Arlington VA 22205-3690
Phone: (703) 717-4180
Fax: (703) 717-4181
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 25MA06952500 | New Jersey |
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 25MA06952500 | New Jersey |
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 0101262770 | Virginia |
Profile Details
NPI number | 1730258294 |
---|---|
LBN Legal business name | Rezac, Craig |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 7th, 2006 |
Last updated | Feb 7th, 2021 - about 4 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 | 1730258294 | NPPES |
New Jersey | MEDICAID | 0069795 |
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