Wilson, Craig Jeffrey

Wilson, Craig Jeffrey is an individual health care provider with primary practice located at 2605 N Lebanon St , Lebanon IN 46052-1476. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Wilson, Craig Jeffrey can be contacted via phone (765) 485-8000.

Contact Information

Primary practice address
2605 N Lebanon St Lebanon IN 46052-1476
Phone: (765) 485-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01048372A Indiana
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 01048372A Indiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01048372A Indiana

Profile Details

NPI number 1407830318
LBN Legal business name Wilson, Craig Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Oct 11th, 2023 - about 2 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 1407830318 NPPES
Indiana MEDICAID 200195130

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