Crawford, John Robert
Crawford, John Robert is an individual health care provider with primary practice located at 7851 Cooper Rd , Kenosha WI 53142-4181. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Crawford, John Robert can be contacted via phone (262) 694-5272.Contact Information
Primary practice address
7851 Cooper Rd
Kenosha WI 53142-4181
Phone: (262) 694-5272
Fax: (262) 694-3121
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 2969-015 | Wisconsin |
Profile Details
| NPI number | 1356563449 |
|---|---|
| LBN Legal business name | Crawford, John Robert |
| Credentials | DDS, MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 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 | 1356563449 | NPPES |
| Wisconsin | Other | 391554736 | S-CORP |
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