Russ, Peter Criag

Russ, Peter Criag is an individual health care provider with primary practice located at 1269 Us Hwy 221A , Forest City NC 28043-5921. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Russ, Peter Criag can be contacted via phone (828) 657-5371.

Contact Information

Primary practice address
1269 Us Hwy 221A Forest City NC 28043-5921
Phone: (828) 657-5371
Fax: (828) 657-9190
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 028399 Connecticut
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2007-00384 North Carolina

Profile Details

NPI number 1568460921
LBN Legal business name Russ, Peter Criag
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Dec 7th, 2023 - about 3 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 1568460921 NPPES
North Carolina MEDICAID 5910498
North Carolina MEDICAID 001283994
North Carolina Other P00716054

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