Nelson, Craig Bradley
Nelson, Craig Bradley is an sole proprietor health care provider with primary practice located at 12309 Gold St , Omaha NE 68144-2760. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Nelson, Craig Bradley can be contacted via phone (402) 334-1200.Contact Information
Primary practice address
12309 Gold St
Omaha NE 68144-2760
Phone: (402) 334-1200
Fax: (402) 334-0998
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 707 | Nebraska |
Profile Details
| NPI number | 1366634602 |
|---|---|
| LBN Legal business name | Nelson, Craig Bradley |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2007 |
| Last updated | Jul 15th, 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 | 1366634602 | NPPES |
| Nebraska | MEDICAID | 47081351800 |
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