Individual
DR. WILLIAM B CRAFTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35055281C
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000004576
ANTHEM
OH
05
—
0673623
—
OH
01
—
200002500A
INDIANA MEDICAID GROUP #
IN
01
—
200002530A
INDIANA MEDICAID INDIV #
IN
01
—
200005445
OHIO RR MEDICARE
OH
01
—
31074182200
OHIO WORKERS COMP GRP #
OH
01
—
64953052
KENTUCKY MEDICAID
KY
Enumeration date
11/28/2006
Last updated
08/21/2017
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