Nelson, Jacy Craig

Nelson, Jacy Craig is an sole proprietor health care provider with primary practice located at 19221 108Th Ave Se Suite 2, Renton WA 98055-7369. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Nelson, Jacy Craig can be contacted via phone (253) 852-0206.

Contact Information

Primary practice address
19221 108Th Ave Se Suite 2 Renton WA 98055-7369
Fax: (253) 852-6351
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DE00009342 Washington

Profile Details

NPI number 1225015977
LBN Legal business name Nelson, Jacy Craig
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 23rd, 2005
Last updated Jul 21st, 2016 - about 8 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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