Craig, William Randy

Craig, William Randy is an individual health care provider with primary practice located at 100 Mercy Way Suite 320-330, Joplin MO 64804-4524. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Craig, William Randy can be contacted via phone (417) 781-5387.

Contact Information

Primary practice address
100 Mercy Way Suite 320-330 Joplin MO 64804-4524
Phone: (417) 781-5387
Fax: (417) 781-7174
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 103131 Missouri

Profile Details

NPI number 1831130020
LBN Legal business name Craig, William Randy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Mar 16th, 2016 - about 10 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 1831130020 NPPES
Oklahoma MEDICAID 100257960B
Oklahoma MEDICAID 100311550G
Oklahoma Other P00800262
Oklahoma MEDICAID 1831130020

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