Bennett, Craig Randall

Bennett, Craig Randall is an sole proprietor health care provider with primary practice located at 1914 W Park Dr , N Wilkesboro NC 28659-3563. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Bennett, Craig Randall can be contacted via phone (336) 667-5039.

Contact Information

Primary practice address
1914 W Park Dr N Wilkesboro NC 28659-3563
Phone: (336) 667-5039
Fax: (336) 667-5719
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 29723 North Carolina

Profile Details

NPI number 1245268556
LBN Legal business name Bennett, Craig Randall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2006
Last updated Oct 24th, 2007 - about 19 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 1245268556 NPPES
North Carolina Other 1372221NORT UMWA
North Carolina MEDICAID 8914864 UMWA

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