Craze, Jacob
Craze, Jacob is an individual health care provider with primary practice located at 30700 Telegraph Rd Ste 15401 , Bingham Farms MI 48025-4524. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Craze, Jacob can be contacted via phone (313) 800-8230.Contact Information
Primary practice address
30700 Telegraph Rd Ste 15401
Bingham Farms MI 48025-4524
Phone: (313) 800-8230
Fax: (866) 516-0753
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 4704340387 | Michigan |
Profile Details
| NPI number | 1558959403 |
|---|---|
| LBN Legal business name | Craze, Jacob |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 6th, 2021 |
| Last updated | Dec 25th, 2025 - about last year |
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 | 1558959403 | NPPES |
| Other | 15059149 | CAQH | |
| MEDICAID | 1558959403 | CAQH |
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