Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TYRONE CRADDOCK
Active Sole ProprietorMR. TYRONE CRADDOCK is a Private Vehicle healthcare provider located in BRIDGEPORT, Connecticut. NPI 1205472396 is currently active in the NPPES registry. Verify at CMS.
Private Vehicle · BRIDGEPORT, CT
Registration Details
- NPI Number
- 1205472396
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 23, 2019 (6.6963009299948 yrs)
- Last Updated
- Nov 23, 2019
- Licenses
-
347C00000X (FL)347C00000X (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
47 WOODLAWN AVEBRIDGEPORT, CT, 066062962Browse CT providers · Browse ZIP 06606
- Phone
- 8606003132
- Primary Specialty
-
Private Vehicle
347C00000X
- Additional Specialty
- Private Vehicle
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.