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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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