Joel Scott Craig

Organization Active NPI Prosthetic/Orthotic Supplier · Milan, TN

NPI 1831372069 · NPPES record last updated Nov 28, 2012

Key facts

NPI
1831372069
Entity type
Organization (NPI type 2)
Primary specialty
Prosthetic/Orthotic Supplier 335E00000X
License
000503 (TN)
Legal business name
JOEL SCOTT CRAIG
Practice address
4039 Highland St
Milan, TN 38358-3483
Phone
(731) 723-3668
NPI assigned
Dec 11, 2007
Organization subpart
No

Authorized official

Name
Dr. Joel S. Craig, DPM
Title
Podiatrist
Phone
(731) 723-3668

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100930007367 TN DME Supplier - Physician - Podiatry 2668682642 Practice locations: Milan, TN

National Provider Directory

Locations

4039 Highland St
Ste 1
Milan, TN 38358
Phone (731) 723-3668

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X TN
Prosthetic/Orthotic Supplier 335E00000X 000503 TN Yes

Addresses

Primary practice location

4039 Highland St
Milan, TN 38358-3483

Mailing address

4039 Highland St
Milan, TN 38358-3483
Phone (731) 723-3668

Other names

  • Milan Foot Care Doing business as

Other providers in Milan, TN

All providers in Milan, TN · Prosthetic/Orthotic Supplier in Tennessee

Sources for this page

Verify at the official NPI Registry.