Craig, Jeffrey C

Craig, Jeffrey C is an individual health care provider with primary practice located at 98 Sherry Avenue , Park Falls WI 55552. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Craig, Jeffrey C can be contacted via phone (715) 762-2484.

Contact Information

Primary practice address
98 Sherry Avenue Park Falls WI 55552
Phone: (715) 762-2484
Fax: (715) 762-7503
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 39840 Wisconsin
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 39840 Wisconsin

Profile Details

NPI number 1588619704
LBN Legal business name Craig, Jeffrey C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Apr 10th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588619704 NPPES
Wisconsin Other 39840 STATE LICENSE NUMBER
Wisconsin MEDICAID 34377300 STATE LICENSE NUMBER

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