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Contact Information

RYAN CRADDOCK, DO
122 12TH ST
PRINCETON, WV24740
 Phone: 304-487-7047
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for RYAN CRADDOCK · (Male)

NPI # 1649666488
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/08/2015
Last updated 11/18/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • WV License # 3295
Hospital affiliation(s)
  • PRINCETON COMMUNITY HOSPITAL - (Acute Care)
    122 12TH STREET
    PRINCETON, WV 24740
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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