Bade, Craig Nelis
Bade, Craig Nelis is an sole proprietor health care provider with primary practice located at 29 West 8Th Street Suite 240, Holland MI 49423. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Bade, Craig Nelis can be contacted via phone (616) 396-1433.Contact Information
Primary practice address
29 West 8Th Street Suite 240
Holland MI 49423
Phone: (616) 396-1433
Fax: (616) 396-9643
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 4301039774 | Michigan |
Profile Details
| NPI number | 1659467603 |
|---|---|
| LBN Legal business name | Bade, Craig Nelis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1659467603 | NPPES |
| Other | 16070-000081 | BCBS | |
| MEDICAID | 2109477-ID | BCBS |
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