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
Fax: (866) 516-0753
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558959403 NPPES
Other 15059149 CAQH
MEDICAID 1558959403 CAQH

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