Ordway, Craig B
Ordway, Craig B is an sole proprietor health care provider with primary practice located at 40 Main St , Northport NY 11768-1722. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ordway, Craig B can be contacted via phone (631) 754-2663.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 129877 | New York |
Profile Details
| NPI number | 1063541472 |
|---|---|
| LBN Legal business name | Ordway, Craig B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | Dec 6th, 2010 - about 16 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 | 1063541472 | NPPES |
| New York | MEDICAID | 00-68330 | |
| New York | Other | 11-2572132 |
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