Crine, James D

Crine, James D is an sole proprietor health care provider with primary practice located at 4550 Eubank Ne Ste #103 , Albuquerque NM 87111. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Crine, James D can be contacted via phone (505) 291-9600.

Contact Information

Primary practice address
4550 Eubank Ne Ste #103 Albuquerque NM 87111
Fax: (505) 299-5280
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 1397 New Mexico

Profile Details

NPI number 1063470904
LBN Legal business name Crine, James D
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063470904 NPPES
Other 5771071 AETNA
MEDICAID 86025 AETNA
Other 619420 AETNA
Other 8600 AETNA

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