Crandall, Kenneth M
Crandall, Kenneth M is an individual health care provider with primary practice located at 7505 Osler Dr Ste 104 , Towson MD 21204-7737. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Crandall, Kenneth M can be contacted via phone (410) 337-8888.Contact Information
Primary practice address
7505 Osler Dr Ste 104
Towson MD 21204-7737
Phone: (410) 337-8888
Fax: (410) 823-4833
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | D0083337 | Maryland |
Profile Details
| NPI number | 1447485891 |
|---|---|
| LBN Legal business name | Crandall, Kenneth M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 28th, 2009 |
| Last updated | Jul 21st, 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 | 1447485891 | NPPES |
| Maryland | Other | D0083337 | MARYLAND LICENSE |
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