Crespo, Jorge Luis

Crespo, Jorge Luis is an individual health care provider with primary practice located at 745A Route 63 , Chesterfield NH 03443-3604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Crespo, Jorge Luis can be contacted via phone (800) 303-8984.

Contact Information

Primary practice address
745A Route 63 Chesterfield NH 03443-3604
Phone: (800) 303-8984
Fax: (603) 363-4450
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 8345 New Hampshire

Profile Details

NPI number 1881633568
LBN Legal business name Crespo, Jorge Luis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Nov 1st, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881633568 NPPES
Vermont Other 8233 BC/BS VT
Vermont Other 0104793Y0VT01 BC/BS VT
Vermont MEDICAID 30003577 BC/BS VT
Vermont MEDICAID OVN2029 BC/BS VT

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