Coleby, Craig Alan
Coleby, Craig Alan is an individual health care provider with primary practice located at 12391 S 4000 W Suite 100, Riverton UT 84096-7012. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Coleby, Craig Alan can be contacted via phone (801) 302-1700.Contact Information
Primary practice address
12391 S 4000 W Suite 100
Riverton UT 84096-7012
Phone: (801) 302-1700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 7637496-1205 | Utah |
| Allopathic & Osteopathic Physicians / Sports Medicine | 2080S0010X | 7637496-1205 | Utah |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 7637496-1205 | Utah |
Profile Details
| NPI number | 1386825024 |
|---|---|
| LBN Legal business name | Coleby, Craig Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 23rd, 2007 |
| Last updated | Apr 18th, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386825024 | NPPES |
| Utah | MEDICAID | 1386825024 |
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