Crum, Eldon
Crum, Eldon is an individual health care provider with primary practice located at 361 Right Fork Bull Creek Rd , Crum WV 25669-8082. He recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as his primary health care specialty. Crum, Eldon can be contacted via phone (304) 963-1490.Contact Information
Primary practice address
361 Right Fork Bull Creek Rd
Crum WV 25669-8082
Phone: (304) 963-1490
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X | West Virginia |
Profile Details
| NPI number | 1376146324 |
|---|---|
| LBN Legal business name | Crum, Eldon |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 20th, 2020 |
| Last updated | Nov 20th, 2020 - about 5 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 | 1376146324 | NPPES |
| West Virginia | MEDICAID | 0030979001 |
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