Crum, Edward R
Crum, Edward R is an individual health care provider with primary practice located at 2317 E Home Rd , Springfield OH 45503-2520. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Crum, Edward R can be contacted via phone (937) 342-4379.Contact Information
Primary practice address
2317 E Home Rd
Springfield OH 45503-2520
Phone: (937) 342-4379
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 131007 | Ohio |
Profile Details
| NPI number | 1629313887 |
|---|---|
| LBN Legal business name | Crum, Edward R |
| Credentials | LICDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2012 |
| Last updated | Aug 8th, 2021 - about 3 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 | 1629313887 | NPPES |
| Ohio | MEDICAID | 0370792 |
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