Craven, Nicole J
Craven, Nicole J is an individual health care provider with primary practice located at 3288 Robinhood Rd Ste 202 , Winston Salem NC 27106-5464. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Craven, Nicole J can be contacted via phone (336) 209-5884.Contact Information
Primary practice address
3288 Robinhood Rd Ste 202
Winston Salem NC 27106-5464
Phone: (336) 209-5884
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2004-01378 | North Carolina |
Profile Details
| NPI number | 1104821644 |
|---|---|
| LBN Legal business name | Craven, Nicole J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2005 |
| Last updated | Jan 10th, 2024 - about 10 months 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 | 1104821644 | NPPES |
| North Carolina | Other | 2468828 | UNITED HEALTHCARE |
| North Carolina | Other | 13837 | UNITED HEALTHCARE |
| North Carolina | Other | 7280705 | UNITED HEALTHCARE |
| North Carolina | MEDICAID | 5908891 | UNITED HEALTHCARE |
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