Craig M Haire in Johnson City - General Practice
Craig M Haire - NPI 1528060720
Craig M Haire is a General Practice in Johnson City, Tennessee. Craig M Haire practices all healthcare services and medical treatments related to General Practice. The NPI Number for Craig M Haire is 1528060720. The last update date is 2014-01-27.
Craig M Haire's current location address is 401 E Main St, Johnson City, Tennessee. You can contact this provider via phone number 4239292584 and fax number 4237222060. The mailing address for Craig M Haire is 401 E Main St, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Craig M Haire |
|---|---|
| Address | 401 E Main St, Johnson City, Tennessee |
| Phone Number | 4239292584 |
| Fax Number | 4237222060 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1528060720 |
|---|---|
| Provider Enumeration Date | 2005-06-01 |
| Last Updated Date | 2014-01-27 |
Provider Mailing Address Detail
| Address | 401 E Main St |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 3760148770 |
| Phone Number | 4239292584 |
| Fax Number | 4237222060 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | MD0000020510 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3078956 | TN | -- |
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What is the unique 10-digit identification code assigned to Craig M Haire by the Centers for Medicare & Medicaid Services?
The Craig M Haire has been issued the NPI (National Provider Identifier) 1528060720, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Craig M Haire located?
The Craig M Haire is located at 401 E Main St, Johnson City, TN 3760148770.
What is the Craig M Haire's area of specialization and corresponding taxonomy classification?
The Craig M Haire's specialty field is General Practice, and it falls under the taxonomy code 208D00000X, which categorizes healthcare providers based on their specialties.
On what date did the Craig M Haire receive its 1528060720 assignment from the Centers for Medicare & Medicaid Services?
The Craig M Haire was assigned its 1528060720 by the Centers for Medicare & Medicaid Services on 2005-06-01.
When was the Craig M Haire's information last updated?
The Craig M Haire's information was last updated on 2014-01-27.