Abbott, Craig Leon
Abbott, Craig Leon is an sole proprietor health care provider with primary practice located at 3500 S Western Ave , Oklahoma City OK 73109-2413. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatopathology is his primary health care specialty. Abbott, Craig Leon can be contacted via phone (405) 632-5565.Contact Information
Primary practice address
3500 S Western Ave
Oklahoma City OK 73109-2413
Phone: (405) 632-5565
Fax: (405) 632-3538
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 17800 | Oklahoma |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 17800 | Oklahoma |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 17800 | Oklahoma |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 17800 | Oklahoma |
Profile Details
| NPI number | 1962453795 |
|---|---|
| LBN Legal business name | Abbott, Craig Leon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 15th, 2006 |
| Last updated | Jun 30th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962453795 | NPPES |
| Oklahoma | MEDICAID | 100746010A | |
| Oklahoma | Other | 541511960-003 |
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