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NPI Code Detail

MEDICARE: JENNIFER K CRAIG MD

MEDICARE: JENNIFER K CRAIG MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician40224CO
2207P00000XEmergency Medicine Physician40224CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932102100
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER K CRAIG MD
Provider Business Mailing Address
First Line : PO BOX 10100
Second Line :
City : DELTA
State : CO
Zip : 81416-0008
Country : US
Telephone Number : 970-874-2470
Fax Number : 970-874-2475
Provider Business Practice Location Address
First Line : 1501 E 3RD ST
Second Line :
City : DELTA
State : CO
Zip : 81416-2815
Country : US
Telephone Number : 970-874-2470
Fax Number : 970-874-2475
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 12/03/2013

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Directions to “ JENNIFER K CRAIG MD” Practice Location

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