Craig, Jessica S.

Craig, Jessica S. is an individual health care provider with primary practice located at 201 9Th St , Marina CA 93933-6039. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Craig, Jessica S. can be contacted via phone (831) 884-1171.

Contact Information

Primary practice address
201 9Th St Marina CA 93933-6039
Phone: (831) 884-1171
Fax: (831) 884-1024
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD17221 Hawaii
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A80156 California

Profile Details

NPI number 1003988759
LBN Legal business name Craig, Jessica S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Sep 25th, 2022 - 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 1003988759 NPPES
California MEDICAID 4663239

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