Crump, John Russell C

Crump, John Russell C is an individual health care provider with primary practice located at 700 East Woodland Dr , Saline MI 48176-1620. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Crump, John Russell C can be contacted via phone (734) 429-2302.

Contact Information

Primary practice address
700 East Woodland Dr Saline MI 48176-1620
Phone: (734) 429-2302
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301053485 Michigan
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 4301053485 Michigan

Profile Details

NPI number 1982793840
LBN Legal business name Crump, John Russell C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Mar 1st, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1982793840 NPPES
Michigan MEDICAID 4171300

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