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Contact Information

CRAIG N AMBROSON, MD
2315 8TH ST
LEWISTON, ID83501-7301
 Phone: 208-746-1383
 Fax: 208-746-6348
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for CRAIG N AMBROSON · (Male)

NPI Number 1629024179
Status Active
Credentials MD
Entity Individual
Enumeration date 05/26/2006
Last updated 03/08/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • ID License # M4939
  • WA License # MD00040671
  • ID Medicaid 002383700
  • WA Medicaid 8600348
Hospital affiliation(s) Not Available
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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