Craddock, Gwen

Craddock, Gwen is an individual health care provider with primary practice located at 5942 Wilson Dr , Huntington WV 25705-2637. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Craddock, Gwen can be contacted via phone (304) 733-6497.

Contact Information

Primary practice address
5942 Wilson Dr Huntington WV 25705-2637
Phone: (304) 733-6497
Fax: (304) 733-6498
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X Ohio

Profile Details

NPI number 1871712570
LBN Legal business name Craddock, Gwen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Jul 26th, 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.

Request for update

Popular Providers