National Provider Identifier Database

CRAIG J THATCHER
Oral & Maxillofacial Surgery


Contact Information

CRAIG J THATCHER
930 16TH AVE
MOLINE, IL61265
Phone: 309-797-1720
Fax: 309-797-1720
Website:
Specialty Taxonomy Code
* Oral & Maxillofacial Surgery 204E00000X

* Indicates primary specialty

NPI Profile & details for CRAIG J THATCHER

NPI Number 1013984541
Credentials
Entity Individual
Enumeration date 03/03/2006
Last updated 09/24/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 19024622
Hospital affiliation n/a

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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