Swanson, Craig Andrew
Swanson, Craig Andrew is an individual health care provider with primary practice located at 3020 Childrens Way , San Diego CA 92123-4223. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Swanson, Craig Andrew can be contacted via phone (858) 966-5863.Contact Information
Primary practice address
3020 Childrens Way
San Diego CA 92123-4223
Phone: (858) 966-5863
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A89516 | California |
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | A89516 | California |
Profile Details
NPI number | 1568534410 |
---|---|
LBN Legal business name | Swanson, Craig Andrew |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 15th, 2006 |
Last updated | Jun 25th, 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 | 1568534410 | NPPES |
California | MEDICAID | 00A895160 |
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