Craddock, Lauren Nibler
Craddock, Lauren Nibler is an individual health care provider with primary practice located at 3200 E Racine St , Janesville WI 53546-2343. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Craddock, Lauren Nibler can be contacted via phone (608) 371-8000.Contact Information
Primary practice address
3200 E Racine St
Janesville WI 53546-2343
Phone: (608) 371-8000
Fax: (608) 371-8922
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 61383 | Wisconsin |
Profile Details
| NPI number | 1518223148 |
|---|---|
| LBN Legal business name | Craddock, Lauren Nibler |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2012 |
| Last updated | Oct 17th, 2022 - about 4 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 | 1518223148 | NPPES |
| Wisconsin | MEDICAID | 1518223148 |
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