Harder, Craig Ronald

Harder, Craig Ronald is an individual health care provider with primary practice located at 975 E Nelson Rd , Moses Lake WA 98837-4710. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Harder, Craig Ronald can be contacted via phone (509) 765-4351.

Contact Information

Primary practice address
975 E Nelson Rd Moses Lake WA 98837-4710
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7728 Washington

Profile Details

NPI number 1295954691
LBN Legal business name Harder, Craig Ronald
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
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 1295954691 NPPES
Washington MEDICAID 5023528

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