Crabtree, Robert Wade

Crabtree, Robert Wade is an sole proprietor health care provider with primary practice located at 1152 Main St , Buffalo NY 14209-2331. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Crabtree, Robert Wade can be contacted via phone (716) 886-1000.

Contact Information

Primary practice address
1152 Main St Buffalo NY 14209-2331
Phone: (716) 886-1000
Fax: (716) 886-1028
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 36699 New York

Profile Details

NPI number 1053397307
LBN Legal business name Crabtree, Robert Wade
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2005
Last updated Jul 3rd, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053397307 NPPES
New York MEDICAID 02254740

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