Crane, Mark Allen

Crane, Mark Allen is an sole proprietor health care provider with primary practice located at 1001 Potrero Ave. Bldg. 5, Fl. 1, #1N , San Francisco CA 94110-3518. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Crane, Mark Allen can be contacted via phone (628) 206-8104.

Contact Information

Primary practice address
1001 Potrero Ave. Bldg. 5, Fl. 1, #1N San Francisco CA 94110-3518
Phone: (628) 206-8104
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X D4371 Arizona
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X OMS27 California
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 26402 Arizona
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X A064888 California

Profile Details

NPI number 1760531644
LBN Legal business name Crane, Mark Allen
Credentials M.D., D.D.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2007
Last updated Jul 31st, 2024 - about 2 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 1760531644 NPPES
Arizona MEDICAID 545345

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