Crudup, Bennie Edward

Crudup, Bennie Edward is an individual health care provider with primary practice located at 440 Winn Way Rm 2118, Decatur GA 30030-1715. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Crudup, Bennie Edward can be contacted via phone (404) 508-7857.

Contact Information

Primary practice address
440 Winn Way Rm 2118 Decatur GA 30030-1715
Phone: (404) 508-7857
Fax: (404) 508-7826
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LPN067878 Georgia

Profile Details

NPI number 1336261627
LBN Legal business name Crudup, Bennie Edward
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
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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