Boss, Nathan Craig

Boss, Nathan Craig is an sole proprietor health care provider with primary practice located at 14700 Lake Shore Dr , Charlevoix MI 49720-1931. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Boss, Nathan Craig can be contacted via phone (231) 547-3124.

Contact Information

Primary practice address
14700 Lake Shore Dr Charlevoix MI 49720-1931
Fax: (231) 547-8916
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301069390 Michigan
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 4301069390 Michigan

Profile Details

NPI number 1699794958
LBN Legal business name Boss, Nathan Craig
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2006
Last updated Dec 14th, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699794958 NPPES
Michigan MEDICAID 104941225

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