Craycroft, J. Andrew
Craycroft, J. Andrew is an sole proprietor health care provider with primary practice located at 1711 Ashley Cir Suite 3, Bowling Green KY 42104-5801. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Craycroft, J. Andrew can be contacted via phone (270) 781-4997.Contact Information
Primary practice address
1711 Ashley Cir Suite 3
Bowling Green KY 42104-5801
Phone: (270) 781-4997
Fax: (270) 781-8557
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 6137 | Kentucky |
Profile Details
| NPI number | 1669517140 |
|---|---|
| LBN Legal business name | Craycroft, J. Andrew |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2007 |
| Last updated | May 27th, 2014 - about 11 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 | 1669517140 | NPPES |
| Kentucky | MEDICAID | 60061371 |
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