Crane, Charles

Crane, Charles is an individual health care provider with primary practice located at 102 Euclid Avenue, Suite 202 , Sandpoint ID 83864-4912. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Crane, Charles can be contacted via phone (208) 263-6876.

Contact Information

Primary practice address
102 Euclid Avenue, Suite 202 Sandpoint ID 83864-4912
Phone: (208) 263-6876
Fax: (208) 263-2033
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M9058 Idaho

Profile Details

NPI number 1194762732
LBN Legal business name Crane, Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Jun 28th, 2016 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194762732 NPPES
Idaho Other 59565 PIN
Idaho MEDICAID 806836200 PIN
Idaho Other 000010146473 PIN

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