Mccrea, Carter Matthew

Mccrea, Carter Matthew is an sole proprietor health care provider with primary practice located at 3434 Douglas Rd , South Bend IN 46635-1776. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Mccrea, Carter Matthew can be contacted via phone (574) 850-6889.

Contact Information

Primary practice address
3434 Douglas Rd South Bend IN 46635-1776
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 12011650A Indiana

Profile Details

NPI number 1710274311
LBN Legal business name Mccrea, Carter Matthew
Credentials D.D.S., M.S.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2011
Last updated Feb 13th, 2020 - about 5 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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