Thalacker, Craig S.

Thalacker, Craig S. is an sole proprietor health care provider with primary practice located at 1111 Crater Lake Ave , Medford OR 97504-6241. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Thalacker, Craig S. can be contacted via phone (514) 732-6440.

Contact Information

Primary practice address
1111 Crater Lake Ave Medford OR 97504-6241
Phone: (514) 732-6440
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD150996 Oregon

Profile Details

NPI number 1558361378
LBN Legal business name Thalacker, Craig S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2005
Last updated Jan 15th, 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.

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