Crago, Charles A

Crago, Charles A is an individual health care provider with primary practice located at 4344 20Th Ave S Suite 2, Fargo ND 58103-7436. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Crago, Charles A can be contacted via phone (701) 239-5969.

Contact Information

Primary practice address
4344 20Th Ave S Suite 2 Fargo ND 58103-7436
Phone: (701) 239-5969
Fax: (701) 239-0034
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 1927 North Dakota

Profile Details

NPI number 1629147723
LBN Legal business name Crago, Charles A
Credentials DMD, MD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2006
Last updated Dec 14th, 2010 - about 14 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 1629147723 NPPES
North Dakota MEDICAID 41302
North Dakota Other 1927

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