Crandall, David Bruce

Crandall, David Bruce is an sole proprietor health care provider with primary practice located at 11050 Mount Belvedere Blvd Usa Meddac, Attn: Credentials, Fort Drum NY 13602-5004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Crandall, David Bruce can be contacted via phone (315) 772-4025.

Contact Information

Primary practice address
11050 Mount Belvedere Blvd Usa Meddac, Attn: Credentials Fort Drum NY 13602-5004
Phone: (315) 772-4025
Fax: (315) 772-9498
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 1993 West Virginia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 02003945 Indiana

Profile Details

NPI number 1811906522
LBN Legal business name Crandall, David Bruce
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2006
Last updated Dec 20th, 2011 - about 13 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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