Stuck, Craig Andrew
Stuck, Craig Andrew is an individual health care provider with primary practice located at 15 Medical Park Rd Suite 301, Columbia SC 29203-8003. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Stuck, Craig Andrew can be contacted via phone (803) 255-3400.Contact Information
Primary practice address
15 Medical Park Rd Suite 301
Columbia SC 29203-8003
Phone: (803) 255-3400
Fax: (803) 255-3420
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 14376 | South Carolina |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 14376 | South Carolina |
Profile Details
| NPI number | 1386604783 |
|---|---|
| LBN Legal business name | Stuck, Craig Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2006 |
| Last updated | May 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386604783 | NPPES |
| South Carolina | MEDICAID | 143767 |
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