Crowdes, Monty Dale
Crowdes, Monty Dale is an sole proprietor health care provider with primary practice located at 101 Bodin Cir R 2B417, Travis Afb CA 94535-1809. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Crowdes, Monty Dale can be contacted via phone (707) 423-7657.Contact Information
Primary practice address
101 Bodin Cir R 2B417
Travis Afb CA 94535-1809
Phone: (707) 423-7657
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 17168 | Iowa |
Profile Details
| NPI number | 1235402686 |
|---|---|
| LBN Legal business name | Crowdes, Monty Dale |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 15th, 2012 |
| Last updated | Feb 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235402686 | NPPES |
| Iowa | Other | 17168 | STATE LICENSE |
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