Crowley, Maurice R
Crowley, Maurice R is an sole proprietor health care provider with primary practice located at 1919 State St Suite 402, New Albany IN 47150-4929. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Crowley, Maurice R can be contacted via phone (812) 945-2760.Contact Information
Primary practice address
1919 State St Suite 402
New Albany IN 47150-4929
Phone: (812) 945-2760
Fax: (812) 945-2780
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 1200-8221 | Indiana |
Profile Details
| NPI number | 1326053729 |
|---|---|
| LBN Legal business name | Crowley, Maurice R |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Jun 2nd, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326053729 | NPPES |
| Indiana | MEDICAID | 100115950A | |
| Indiana | Other | 300058496 |
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