Crandall, Richard Andrews
Crandall, Richard Andrews is an individual health care provider with primary practice located at 1093 Brookfield Rd , Berlin VT 05602-9065. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Crandall, Richard Andrews can be contacted via phone (717) 368-6346.Contact Information
Primary practice address
1093 Brookfield Rd
Berlin VT 05602-9065
Phone: (717) 368-6346
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0420012390 | Vermont |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G88844 | California |
Profile Details
| NPI number | 1902087190 |
|---|---|
| LBN Legal business name | Crandall, Richard Andrews |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2007 |
| Last updated | Sep 9th, 2020 - about 4 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 | 1902087190 | NPPES |
| New Hampshire | MEDICAID | 32001803 | |
| New Hampshire | MEDICAID | 1021110 |
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