Nelson, Craig Lee

Nelson, Craig Lee is an individual health care provider with primary practice located at 405 Union St , Lagrange IN 46761-2234. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Nelson, Craig Lee can be contacted via phone (260) 463-3123.

Contact Information

Primary practice address
405 Union St Lagrange IN 46761-2234
Phone: (260) 463-3123
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12006413A Indiana

Profile Details

NPI number 1396950176
LBN Legal business name Nelson, Craig Lee
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2007
Last updated Mar 14th, 2019 - about 6 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 1396950176 NPPES
Indiana MEDICAID 100159780A

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