Caldwell, Cratisa Latwann

Caldwell, Cratisa Latwann is an individual health care provider with primary practice located at 8151 E 21St St , Indianapolis IN 46219. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Public Health, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Caldwell, Cratisa Latwann can be contacted via phone (317) 353-8505.

Contact Information

Primary practice address
8151 E 21St St Indianapolis IN 46219
Phone: (317) 353-8505
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X 6088 Louisiana
Dental Providers / General Practice 1223G0001X 12011470A Indiana

Profile Details

NPI number 1881906634
LBN Legal business name Caldwell, Cratisa Latwann
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2010
Last updated Aug 10th, 2018 - about 7 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 1881906634 NPPES
Louisiana MEDICAID 1940801

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