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 |
Popular Providers
-
De Castro, Fernando R.
250 Fountain Ct , Lexington KY 40509-1888 -
Mccallister, Robert Edward
6920 Parkdale Pl Ste 210, Indianapolis IN 46254-5611 -
Kageyama, Nicole Prevo
1412 Sw 43Rd St Ste 205 , Renton WA 98057-4803 -
Mcmillan, Euan Murray
4320 Saint Gregory Dr , Oklahoma City OK 73120-8332 -
Kasch, John A
2721 Capitol Ave , Sacramento CA 95816-6004 -
Lomazoff, Igor
501 Office Center Dr Suite 195, Ft Washington PA 19034-3220 -
Chae, Kyung Ai Mireille
801 York St , Manitowoc WI 54220-4630 -
Lopez, D. A.
230 Prospect Pl Ste 260, Coronado CA 92118-1987