Andersen, Craig Allan

Andersen, Craig Allan is an individual health care provider with primary practice located at 5323 Harry Hines Blvd , Dallas TX 75390-7201. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Andersen, Craig Allan can be contacted via phone (214) 648-6400.

Contact Information

Primary practice address
5323 Harry Hines Blvd Dallas TX 75390-7201
Phone: (214) 648-6400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 66768 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X CRA-2470 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP134976 Texas

Profile Details

NPI number 1508854084
LBN Legal business name Andersen, Craig Allan
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Aug 17th, 2020 - about 6 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 1508854084 NPPES
Colorado Other 430070795 MEDICARE RAILROAD
Colorado MEDICAID 117080500 MEDICARE RAILROAD
Colorado MEDICAID 90551885 MEDICARE RAILROAD

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