Colliver, Craig Paul
Colliver, Craig Paul is an individual health care provider with primary practice located at 9707 Medical Center Dr Suite 200, Rockville MD 20850-3348. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Colliver, Craig Paul can be contacted via phone (301) 251-4128.Contact Information
Primary practice address
9707 Medical Center Dr Suite 200
Rockville MD 20850-3348
Phone: (301) 251-4128
Fax: (301) 738-1593
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | D0054429 | Maryland |
Profile Details
| NPI number | 1891705836 |
|---|---|
| LBN Legal business name | Colliver, Craig Paul |
| Credentials | MD, FACS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Jul 13th, 2010 - about 16 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 | 1891705836 | NPPES |
| Maryland | MEDICAID | 263201200 |
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