Provider Demographics
NPI:1356437925
Name:RINDER, CRAIG (MD)
Entity type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:
Last Name:RINDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:375 CANAL STREET
Mailing Address - Street 2:
Mailing Address - City:BRATTLEBORO
Mailing Address - State:VT
Mailing Address - Zip Code:05301-6616
Mailing Address - Country:US
Mailing Address - Phone:802-254-8222
Mailing Address - Fax:802-254-5577
Practice Address - Street 1:375 CANAL STREET
Practice Address - Street 2:
Practice Address - City:BRATTLEBORO
Practice Address - State:VT
Practice Address - Zip Code:05301-6616
Practice Address - Country:US
Practice Address - Phone:802-254-8222
Practice Address - Fax:802-254-5577
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2013-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT8789208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT00019187OtherBLUE CROSS/BLUE SHIELD
NH30204048Medicaid
VTORE2697Medicaid
VT24P553OtherMVP
7352849002OtherCIGNA
NH01092150Y0NH02OtherANTHEM BLUE CROSS
VN3184Medicare ID - Type Unspecified
NH30204048Medicaid