Crandall, Michael Allen
Crandall, Michael Allen is an sole proprietor health care provider with primary practice located at 1609 Woodbourne Rd , Levittown PA 19057-1500. He recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as his primary health care specialty. Crandall, Michael Allen can be contacted via phone (215) 945-2100.Contact Information
Primary practice address
1609 Woodbourne Rd
Levittown PA 19057-1500
Phone: (215) 945-2100
Fax: (215) 945-2192
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Rehabilitation | 111NR0400X | DC008924 | Pennsylvania |
Profile Details
| NPI number | 1104048602 |
|---|---|
| LBN Legal business name | Crandall, Michael Allen |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1104048602 | NPPES |
| Pennsylvania | Other | 1446589 | HIGHMARK BLUE SHIELD |
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