Crum-Stevens, Sandra
Crum-Stevens, Sandra is an individual health care provider with primary practice located at 98 River Street Suite A , Clay City KY 40312. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Crum-Stevens, Sandra can be contacted via phone (606) 663-5473.Contact Information
Primary practice address
98 River Street Suite A
Clay City KY 40312
Phone: (606) 663-5473
Fax: (606) 663-0106
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | KY6977 | Kentucky |
Profile Details
| NPI number | 1487793113 |
|---|---|
| LBN Legal business name | Crum-Stevens, Sandra |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1487793113 | NPPES |
| Kentucky | MEDICAID | 60069770 |
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