Individual
CRAIG ALAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
115 S MURPHY AVE, SUITE A, BRAZIL, IN 47834-8296
(812) 442-2100
(812) 446-4409
Mailing address
1542 S BLOOMINGTON ST, GREENCASTLE, IN 46135-2212
(765) 658-2753
(765) 655-2604
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02002070
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
153869
RURAL HEALTH
IN
05
—
200286610
—
IN
05
—
200300810
—
IN
05
—
200853600A
—
IN
01
—
P00416616
RAILROAD MEDICARE
IN
Enumeration date
10/25/2005
Last updated
12/10/2024
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