Crespo, Luis Ignacio
Crespo, Luis Ignacio is an individual health care provider with primary practice located at 1811 E Innes St , Salisbury NC 28146-6030. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Crespo, Luis Ignacio can be contacted via phone (704) 216-8777.Contact Information
Primary practice address
1811 E Innes St
Salisbury NC 28146-6030
Phone: (704) 216-8777
Fax: (704) 638-3129
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 7121 | North Carolina |
| Dental Providers / General Practice | 1223G0001X | 7121 | North Carolina |
Profile Details
| NPI number | 1336298447 |
|---|---|
| LBN Legal business name | Crespo, Luis Ignacio |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Dec 23rd, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336298447 | NPPES |
| North Carolina | MEDICAID | 899013W |
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