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
Phone: (253) 852-0206
Fax: (253) 852-6351
Website:
Health care specialties
| Specialty | Code | License # | 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 10 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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