Provider Information for 1619336526
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
JOHN CRAIG
Sex: Male
NPI: 1619336526
Last Updated: 2020-11-11
Certification Date: 2020-11-11
Certification Date: 2020-11-11
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1619336526 | ||||||||
| Enumeration Date | 2016-02-19 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 3295 CRAWFORDVILLE HWY CRAWFORDVILLE, FL 32327-3150 United States Phone: 850-296-1785 | Fax:850-697-3891 | ||||||||
| Primary Practice Address | 3295 CRAWFORDVILLE HWY CRAWFORDVILLE, FL 32327-3150 United States Phone: 850-296-1785 | Fax:850-697-3891 | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|