Driver, Craig Warren
Driver, Craig Warren is an sole proprietor health care provider with primary practice located at 3308 Kimball Ave , Waterloo IA 50702-5758. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Driver, Craig Warren can be contacted via phone (319) 232-6804.Contact Information
Primary practice address
3308 Kimball Ave
Waterloo IA 50702-5758
Phone: (319) 232-6804
Fax: (319) 232-8396
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 05686 | Iowa |
Profile Details
| NPI number | 1821141581 |
|---|---|
| LBN Legal business name | Driver, Craig Warren |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 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 | 1821141581 | NPPES |
| Iowa | MEDICAID | 0064675 |
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