Andrus, Craig

Andrus, Craig is an sole proprietor health care provider with primary practice located at 212 W Sycamore St , Durant OK 74701-4436. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Andrus, Craig can be contacted via phone (405) 762-6852.

Contact Information

Primary practice address
212 W Sycamore St Durant OK 74701-4436
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1982948659
LBN Legal business name Andrus, Craig
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2012
Last updated Nov 19th, 2012 - about 14 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 1982948659 NPPES
Oklahoma MEDICAID 2000287120A

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