Crum, J. David
Crum, J. David is an sole proprietor health care provider with primary practice located at 2323 Ohio St , Augusta KS 67010-2153. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Crum, J. David can be contacted via phone (316) 775-6341.Contact Information
Primary practice address
2323 Ohio St
Augusta KS 67010-2153
Phone: (316) 775-6341
Fax: (316) 775-6680
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1000-3 | Kansas |
Profile Details
| NPI number | 1801889571 |
|---|---|
| LBN Legal business name | Crum, J. David |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 26th, 2005 |
| Last updated | Jan 4th, 2008 - about 18 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 | 1801889571 | NPPES |
| Kansas | MEDICAID | 100090650C |
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