Crenshaw, Jere Walton
Crenshaw, Jere Walton is an sole proprietor health care provider with primary practice located at 1623 E Reelfoot Ave , Union City TN 38261-6031. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Crenshaw, Jere Walton can be contacted via phone (731) 885-7661.Contact Information
Primary practice address
1623 E Reelfoot Ave
Union City TN 38261-6031
Phone: (731) 885-7661
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | DS 2617 | Tennessee |
Profile Details
| NPI number | 1861496317 |
|---|---|
| LBN Legal business name | Crenshaw, Jere Walton |
| Credentials | D.D.S.,M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2005 |
| Last updated | Sep 10th, 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.
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