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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376146324 NPPES
West Virginia MEDICAID 0030979001

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