Craddock, Richard W

Craddock, Richard W is an individual health care provider with primary practice located at 500 Poplar St , South Charleston WV 25309-1474. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Craddock, Richard W can be contacted via phone (304) 342-3891.

Contact Information

Primary practice address
500 Poplar St South Charleston WV 25309-1474
Phone: (304) 342-3891
Fax: (304) 342-5307
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 00292 West Virginia

Profile Details

NPI number 1467768804
LBN Legal business name Craddock, Richard W
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2010
Last updated Nov 1st, 2012 - about 13 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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