Taft, Craig E

Taft, Craig E is an individual health care provider with primary practice located at 4701 S 19Th St Suite 100, Tacoma WA 98405-1199. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Taft, Craig E can be contacted via phone (253) 759-1310.

Contact Information

Primary practice address
4701 S 19Th St Suite 100 Tacoma WA 98405-1199
Fax: (253) 759-1330
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X PT00002558 Washington

Profile Details

NPI number 1891772703
LBN Legal business name Taft, Craig E
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Mar 3rd, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891772703 NPPES
Washington MEDICAID 718656

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