Crawford, John George
Crawford, John George is an sole proprietor health care provider with primary practice located at 401 Wall St Unit D , Valparaiso IN 46383-2585. He recently has 3 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / Orthodontics and Dentofacial Orthopedics, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Crawford, John George can be contacted via phone (219) 286-6228.Contact Information
Primary practice address
401 Wall St Unit D
Valparaiso IN 46383-2585
Phone: (219) 286-6228
Fax: (219) 217-3673
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 021.000832 | Illinois |
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 021.000939 | Illinois |
| Dental Providers / Dentist | 122300000X | 12013818A | Indiana |
Profile Details
| NPI number | 1952422248 |
|---|---|
| LBN Legal business name | Crawford, John George |
| Credentials | D.D.S., M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2007 |
| Last updated | Dec 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952422248 | NPPES |
| Illinois | Other | 021.000832 | SPECIALIST, PEDODONTICS |
| Illinois | Other | 019.000939 | SPECIALIST, PEDODONTICS |
| Illinois | Other | 021.000939 | SPECIALIST, PEDODONTICS |
| Illinois | Other | 12013818A | SPECIALIST, PEDODONTICS |
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