Crim, Brandon E.

Crim, Brandon E. is an individual health care provider with primary practice located at 417 S Saunders Ave , Tyler TX 75702-8344. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Crim, Brandon E. can be contacted via phone (903) 596-9173.

Contact Information

Primary practice address
417 S Saunders Ave Tyler TX 75702-8344
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X SC006039 Pennsylvania
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1983 Texas

Profile Details

NPI number 1205099314
LBN Legal business name Crim, Brandon E.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2008
Last updated Jan 26th, 2015 - about 9 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 1205099314 NPPES
Texas MEDICAID 339742401
Texas Other 8EK881
Texas Other 75-2616977-009

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