Crumby, Mark
Crumby, Mark is an sole proprietor health care provider with primary practice located at 580 W 5Th St , Reno NV 89503-4407. He recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as his primary health care specialty. Crumby, Mark can be contacted via phone (775) 348-1306.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 17499 | Nevada |
Profile Details
NPI number | 1366851917 |
---|---|
LBN Legal business name | Crumby, Mark |
Credentials | PHARM.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 7th, 2014 |
Last updated | Aug 7th, 2014 - about 10 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 | 1366851917 | NPPES |
Nevada | MEDICAID | 100500016 | |
Nevada | Other | 2906848 |
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