Crane, Charles J
Crane, Charles J is an individual health care provider with primary practice located at 71 2Nd St , South Orange NJ 07079-1855. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Crane, Charles J can be contacted via phone (973) 763-2203.Contact Information
Primary practice address
71 2Nd St
South Orange NJ 07079-1855
Phone: (973) 763-2203
Fax: (973) 762-9449
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 25MA05335300 | New Jersey |
Profile Details
| NPI number | 1710961917 |
|---|---|
| LBN Legal business name | Crane, Charles J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2005 |
| Last updated | May 23rd, 2008 - 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 | 1710961917 | NPPES |
| New Jersey | MEDICAID | 6155103 |
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