Deatley, Craig

Deatley, Craig is an individual health care provider with primary practice located at 3300 Gallows Rd , Falls Church VA 22042-3307. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Deatley, Craig can be contacted via phone (703) 776-3111.

Contact Information

Primary practice address
3300 Gallows Rd Falls Church VA 22042-3307
Phone: (703) 776-3111
Fax: (800) 536-8431
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 01184672560 Virginia

Profile Details

NPI number 1184672560
LBN Legal business name Deatley, Craig
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jan 8th, 2018 - about 7 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 1184672560 NPPES
Virginia MEDICAID 8923477
Virginia Other 970006339

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