Crispin, Craig Douglas
Crispin, Craig Douglas is an sole proprietor health care provider with primary practice located at 60 Fourth St. Suite B, Point Reyes Station CA 94956-0550. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Crispin, Craig Douglas can be contacted via phone (415) 663-1430.Contact Information
Primary practice address
60 Fourth St. Suite B
Point Reyes Station CA 94956-0550
Phone: (415) 663-1430
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 28530 | California |
Profile Details
| NPI number | 1578617452 |
|---|---|
| LBN Legal business name | Crispin, Craig Douglas |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578617452 | NPPES |
| California | Other | 28530 | STATE LICENSE |
| California | Other | 94-2908493 | STATE LICENSE |
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