Crumpacker, Clyde S
Crumpacker, Clyde S is an individual health care provider with primary practice located at 330 Brookline Avenue/Dana 617 Div Of Infectious Dis, Boston MA 02215-5400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Crumpacker, Clyde S can be contacted via phone (617) 667-5863.Contact Information
Primary practice address
330 Brookline Avenue/Dana 617 Div Of Infectious Dis
Boston MA 02215-5400
Phone: (617) 667-5863
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 33921 | Massachusetts |
Profile Details
| NPI number | 1780786103 |
|---|---|
| LBN Legal business name | Crumpacker, Clyde S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 5th, 2006 |
| Last updated | Jul 8th, 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.
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