Individual
MR. CRAIG DOUGLAS ROUBEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 CHASE WAY STE 2, ELIZABETHTOWN, KY 42701-7827
(502) 212-0071
Mailing address
2100 MARKET ST, CHARLESTOWN, IN 47111-9535
(812) 246-9809
(770) 573-9513
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3007663
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1087566
STATE LICENSE
KY
05
—
201212500
—
IN
01
—
71004539A
STATE LICENSE
IN
01
—
IN3604006
MEDICARE IN
IN
Enumeration date
10/11/2012
Last updated
02/22/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us