Crago, Charles A
Crago, Charles A is an individual health care provider with primary practice located at 4344 20Th Ave S Suite 2, Fargo ND 58103-7436. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Crago, Charles A can be contacted via phone (701) 239-5969.Contact Information
Primary practice address
4344 20Th Ave S Suite 2
Fargo ND 58103-7436
Phone: (701) 239-5969
Fax: (701) 239-0034
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 1927 | North Dakota |
Profile Details
| NPI number | 1629147723 |
|---|---|
| LBN Legal business name | Crago, Charles A |
| Credentials | DMD, MD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 6th, 2006 |
| Last updated | Dec 14th, 2010 - about 16 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 | 1629147723 | NPPES |
| North Dakota | MEDICAID | 41302 | |
| North Dakota | Other | 1927 |
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