Crum, W Dale
Crum, W Dale is an sole proprietor health care provider with primary practice located at 2204 E 29Th Ave Ste 104, Spokane WA 99203-3961. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Crum, W Dale can be contacted via phone (509) 928-8800.Contact Information
Primary practice address
2204 E 29Th Ave Ste 104
Spokane WA 99203-3961
Phone: (509) 928-8800
Fax: (509) 321-0154
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 7006 | Washington |
Profile Details
| NPI number | 1609870070 |
|---|---|
| LBN Legal business name | Crum, W Dale |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2005 |
| Last updated | Apr 15th, 2010 - about 14 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 | 1609870070 | NPPES |
| Washington | MEDICAID | 5026117 |
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