Spicer, Craig C

Spicer, Craig C is an individual health care provider with primary practice located at 608 3Rd Ave , Saint Albans WV 25177-1849. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Spicer, Craig C can be contacted via phone (304) 722-2906.

Contact Information

Primary practice address
608 3Rd Ave Saint Albans WV 25177-1849
Fax: (304) 722-6103
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2760 West Virginia

Profile Details

NPI number 1316088867
LBN Legal business name Spicer, Craig C
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 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 1316088867 NPPES
Pennsylvania Other 475146 UNITED CONCORDIA PROVIDER

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