Craig, Richard D
Craig, Richard D is an individual health care provider with primary practice located at 2178 W Windchime Dr , Meridian ID 83646-3535. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Craig, Richard D can be contacted via phone (208) 994-1672.Contact Information
Primary practice address
2178 W Windchime Dr
Meridian ID 83646-3535
Phone: (208) 994-1672
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY-202367 | Idaho |
Profile Details
| NPI number | 1528595329 |
|---|---|
| LBN Legal business name | Craig, Richard D |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2017 |
| Last updated | May 11th, 2017 - about 9 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 | 1528595329 | NPPES |
| Idaho | Other | PSY-202367 | LICENSE |
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