Craig, Jennifer Michelle

Craig, Jennifer Michelle is an individual health care provider with primary practice located at 2500 Elms Center Rd , N Charleston SC 29406-9844. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Craig, Jennifer Michelle can be contacted via phone (843) 572-7727.

Contact Information

Primary practice address
2500 Elms Center Rd N Charleston SC 29406-9844
Phone: (843) 572-7727
Fax: (843) 569-5881
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X 951 South Carolina
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 951 South Carolina

Profile Details

NPI number 1891079018
LBN Legal business name Craig, Jennifer Michelle
Credentials RD, CSR, LD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2011
Last updated Sep 21st, 2015 - about 9 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 1891079018 NPPES
South Carolina MEDICAID DT1038

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