Crum, Phillip

Crum, Phillip is an individual health care provider with primary practice located at 2581 Development Dr Ste 204 , Bellevue WI 54311-4248. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Crum, Phillip can be contacted via phone (920) 347-2640.

Contact Information

Primary practice address
2581 Development Dr Ste 204 Bellevue WI 54311-4248
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 1002021-15 Wisconsin

Profile Details

NPI number 1235683830
LBN Legal business name Crum, Phillip
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2016
Last updated Jan 7th, 2020 - about 4 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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