Deken, Craig
Deken, Craig is an sole proprietor health care provider with primary practice located at 3750 Landmark Dr Ste A , Lafayette IN 47905-6652. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Deken, Craig can be contacted via phone (317) 706-7246.Contact Information
Primary practice address
3750 Landmark Dr Ste A
Lafayette IN 47905-6652
Phone: (317) 706-7246
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 20043450A | Indiana |
Profile Details
| NPI number | 1588168314 |
|---|---|
| LBN Legal business name | Deken, Craig |
| Credentials | PHD, HSPP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 19th, 2018 |
| Last updated | Nov 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 | 1588168314 | NPPES |
| Indiana | MEDICAID | 300088918 |
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