Craddock, Tyrone

Craddock, Tyrone is an sole proprietor health care provider with primary practice located at 47 Woodlawn Ave , Bridgeport CT 06606-2962. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Driver, Transportation Services / Private Vehicle. Transportation Services / Private Vehicle is his primary health care specialty. Craddock, Tyrone can be contacted via phone (860) 600-3132.

Contact Information

Primary practice address
47 Woodlawn Ave Bridgeport CT 06606-2962
Phone: (860) 600-3132
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X 347C00000X Florida
Transportation Services / Private Vehicle 347C00000X 347C00000X Connecticut

Profile Details

NPI number 1205472396
LBN Legal business name Craddock, Tyrone
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 23rd, 2019
Last updated Nov 23rd, 2019 - about 7 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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