Craven, James Michael

Craven, James Michael is an individual health care provider with primary practice located at 1050 W Granada Blvd Suite 4, Ormond Beach FL 32174-8154. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Pediatric Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Craven, James Michael can be contacted via phone (386) 677-8808.

Contact Information

Primary practice address
1050 W Granada Blvd Suite 4 Ormond Beach FL 32174-8154
Phone: (386) 677-8808
Fax: (386) 677-2134
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 25633 Kentucky
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X 25633 Kentucky

Profile Details

NPI number 1093749350
LBN Legal business name Craven, James Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 16th, 2012 - about 14 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 1093749350 NPPES
Georgia Other 040016956 RR MEDICARE PIN
Georgia Other 37903705 RR MEDICARE PIN
Georgia Other CB5773 RR MEDICARE PIN
Georgia Other 4000501 RR MEDICARE PIN
Georgia MEDICAID 64047475 RR MEDICARE PIN

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