Shirley, David Craig
Shirley, David Craig is an sole proprietor health care provider with primary practice located at 495 Hogan Lane Suite 2, Conway AR 72034. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Shirley, David Craig can be contacted via phone (501) 327-5850.Contact Information
Primary practice address
495 Hogan Lane Suite 2
Conway AR 72034
Phone: (501) 327-5850
Fax: (501) 327-4910
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | N-7212 | Arkansas |
Profile Details
| NPI number | 1770582041 |
|---|---|
| LBN Legal business name | Shirley, David Craig |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Nov 21st, 2011 - about 15 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 | 1770582041 | NPPES |
| Arkansas | MEDICAID | 113501001 |
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