Mr. Tyrone Craddock
Private Vehicle in Bridgeport, Connecticut
1205472396- Practice location
- 47 Woodlawn Ave, Bridgeport, CT 06606-2962
- Phone
- 860-600-3132
- Fax
- —
- Last updated
- November 23, 2019
Tyrone Craddock is a Private Vehicle based in Bridgeport, CT. Tyrone Craddock practices in Bridgeport, CT. The NPI Number for Tyrone Craddock is 1205472396 and holds a License No. 347C00000X (FL). The current practice location address for Tyrone Craddock is 47 Woodlawn Ave, Bridgeport, CT 06606-2962 and can be reached out via phone at 860-600-3132.
Provider Profile Details
- NPI Number
- 1205472396
- Provider Name
- Tyrone Craddock
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 47 Woodlawn Ave, Bridgeport, CT 06606-2962
- Phone Number
- 860-600-3132
- Primary Taxonomy
- Private Vehicle · 347C00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 23, 2019
- Last Update Date
- November 23, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 47 Woodlawn Ave
Bridgeport, CT 06606-2962 - City
- Bridgeport
- State
- Connecticut
- Zip
- 06606-2962
- Phone Number
- 860-600-3132
Provider Business Mailing Address Details
- Address
- 47 Woodlawn Ave
Bridgeport, CT 06606-2962 - City
- Bridgeport
- State
- CT
- Zip
- 06606-2962
- Phone Number
- 860-600-3132
License Information
- License Number (1)
- 347C00000X
- License State (1)
- FL
- Taxonomy (1)
- Driver · 172A00000X
- License Number (2)
- 347C00000X
- License State (2)
- CT
- Taxonomy (2)
- Private Vehicle · 347C00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Private Vehicle providers near Bridgeport, CT
View all Private Vehicle providers in Bridgeport →Frequently Asked Questions
What is the NPI number of Mr. Tyrone Craddock?
The NPI number of Mr. Tyrone Craddock is 1205472396. It was assigned on November 23, 2019 and is currently active in the NPPES registry.
What is the specialty of Mr. Tyrone Craddock?
Mr. Tyrone Craddock is registered under the primary taxonomy Private Vehicle (code 347C00000X), licensed in FL under license number 347C00000X.
Where does Mr. Tyrone Craddock practice?
The practice location is 47 Woodlawn Ave, Bridgeport, CT 06606-2962. The office can be reached at 860-600-3132 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205472396 directly on the NPPES registry website.