Crall, Eric Joseph
Crall, Eric Joseph is an sole proprietor health care provider with primary practice located at 4953 Van Dyke Rd , Lutz FL 33558-4813. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Crall, Eric Joseph can be contacted via phone (813) 321-1783.Contact Information
Primary practice address
4953 Van Dyke Rd
Lutz FL 33558-4813
Phone: (813) 321-1783
Fax: (877) 992-2302
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME69527 | Florida |
Profile Details
| NPI number | 1114979952 |
|---|---|
| LBN Legal business name | Crall, Eric Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 17th, 2006 |
| Last updated | Aug 8th, 2022 - about 3 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 | 1114979952 | NPPES |
| Florida | MEDICAID | 257348200 | |
| Florida | Other | 080115587 |
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