Individual
MRS. EILEEN E CRAVENS
Active
Individual
MRS. EILEEN E CRAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01032201B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000143179
BLUE CROSS
—
05
—
0690711
—
OH
05
—
100256900A
—
IN
01
—
100826
BLACK LUNG
—
01
—
110020161
RAILROAD MEDICARE
—
Enumeration date
10/17/2006
Last updated
10/10/2008
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