Self, Craig S
Self, Craig S is an individual health care provider with primary practice located at 646 Hartness Rd , Statesville NC 28677-3423. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Self, Craig S can be contacted via phone (704) 872-4108.Contact Information
Primary practice address
646 Hartness Rd
Statesville NC 28677-3423
Phone: (704) 872-4108
Fax: (704) 873-6517
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 37314-020 | Wisconsin |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 2006-01037 | North Carolina |
Profile Details
| NPI number | 1154301844 |
|---|---|
| LBN Legal business name | Self, Craig S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Mar 30th, 2021 - about 5 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 | 1154301844 | NPPES |
| South Carolina | Other | 000000293958 | UNISON HEALTH PLAN SC |
| South Carolina | Other | 1447C | UNISON HEALTH PLAN SC |
| South Carolina | MEDICAID | 5906409 | UNISON HEALTH PLAN SC |
| South Carolina | Other | 81899 | UNISON HEALTH PLAN SC |
| South Carolina | Other | P00421356 | UNISON HEALTH PLAN SC |
| South Carolina | MEDICAID | Q37006 | UNISON HEALTH PLAN SC |
| South Carolina | Other | 7405845 | UNISON HEALTH PLAN SC |
| South Carolina | Other | 199111 | UNISON HEALTH PLAN SC |
| South Carolina | Other | 20096155 | UNISON HEALTH PLAN SC |
| South Carolina | Other | 2687 | UNISON HEALTH PLAN SC |
| South Carolina | Other | 01152096 | UNISON HEALTH PLAN SC |
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