Craig, Karen

Craig, Karen is an individual health care provider with primary practice located at 743 Pismo St , San Luis Obispo CA 93401-3921. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Craig, Karen can be contacted via phone (805) 549-9446.

Contact Information

Primary practice address
743 Pismo St San Luis Obispo CA 93401-3921
Phone: (805) 549-9446
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 414514 California

Profile Details

NPI number 1861406084
LBN Legal business name Craig, Karen
Credentials NP,RN
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861406084 NPPES
California MEDICAID 414514

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