Crout, Richard M

Crout, Richard M is an individual health care provider with primary practice located at 3518 Teays Valley Rd , Hurricane WV 25526. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Crout, Richard M can be contacted via phone (304) 562-1000.

Contact Information

Primary practice address
3518 Teays Valley Rd Hurricane WV 25526
Phone: (304) 562-1000
Fax: (304) 562-0777
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X WV3374 West Virginia

Profile Details

NPI number 1760581417
LBN Legal business name Crout, Richard M
Credentials DDS MS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Feb 4th, 2013 - about 11 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 1760581417 NPPES
West Virginia MEDICAID 7900009000

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