Crum, Bryan Glenn

Crum, Bryan Glenn is an individual health care provider with primary practice located at 3190 Churn Creek Rd , Redding CA 96002-2122. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Crum, Bryan Glenn can be contacted via phone (530) 223-2500.

Contact Information

Primary practice address
3190 Churn Creek Rd Redding CA 96002-2122
Phone: (530) 223-2500
Fax: (530) 226-1375
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G69282 California

Profile Details

NPI number 1902891385
LBN Legal business name Crum, Bryan Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Oct 25th, 2012 - about 13 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 1902891385 NPPES
California MEDICAID 00G692820

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