Craig, Carol B
Craig, Carol B is an individual health care provider with primary practice located at 1104 W Highway 30 , Gonzales LA 70737-5003. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Craig, Carol B can be contacted via phone (225) 644-2100.Contact Information
Primary practice address
1104 W Highway 30
Gonzales LA 70737-5003
Phone: (225) 644-2100
Fax: (225) 644-5213
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN046542/AP03176 | Louisiana |
Profile Details
| NPI number | 1023032810 |
|---|---|
| LBN Legal business name | Craig, Carol B |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1023032810 | NPPES |
| Iowa | MEDICAID | 1555576 |
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