Crandall, Heide Kathleen

Crandall, Heide Kathleen is an sole proprietor health care provider with primary practice located at 46 Martin Street , Wellsville NY 14895. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Crandall, Heide Kathleen can be contacted via phone (585) 593-9497.

Contact Information

Primary practice address
46 Martin Street Wellsville NY 14895
Phone: (585) 593-9497
Fax: (585) 596-4048
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 210775 New York

Profile Details

NPI number 1760463640
LBN Legal business name Crandall, Heide Kathleen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2005
Last updated Sep 28th, 2022 - about 2 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 1760463640 NPPES
New York MEDICAID 01872279
New York Other 00020353001
New York Other 000525220001

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