Craig Houser

Individual provider Active NPI Other Technician · Essexville, MI

NPI 1396196838 · NPPES record last updated Jun 27, 2016

Key facts

NPI
1396196838
Entity type
Individual (NPI type 1)
Primary specialty
Other Technician 247200000X
Practice address
409 Old Orchard Dr Apt 12
Essexville, MI 48732-9508
Phone
(989) 714-4995
NPI assigned
Jun 27, 2016
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X Yes

Addresses

Primary practice location

409 Old Orchard Dr Apt 12
Essexville, MI 48732-9508

Mailing address

409 Old Orchard Dr Apt 12
Essexville, MI 48732-9508
Phone (989) 714-4995

Other providers in Essexville, MI

All providers in Essexville, MI · Other Technician in Michigan

Sources for this page

Verify at the official NPI Registry.