Crudo, Chito M

Crudo, Chito M is an individual health care provider with primary practice located at 25 Fayette Street , Belle Vernon PA 15012-1666. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Crudo, Chito M can be contacted via phone (724) 929-4122.

Contact Information

Primary practice address
25 Fayette Street Belle Vernon PA 15012-1666
Fax: (724) 929-5188
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X M0035941L Pennsylvania

Profile Details

NPI number 1245223627
LBN Legal business name Crudo, Chito M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated May 19th, 2022 - about 4 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 1245223627 NPPES
Pennsylvania MEDICAID 0588419

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