Crum, John Palmer

Crum, John Palmer is an individual health care provider with primary practice located at 95 N Research Dr Ste 110 , Edwardsville IL 62025-3604. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Crum, John Palmer can be contacted via phone (618) 692-6880.

Contact Information

Primary practice address
95 N Research Dr Ste 110 Edwardsville IL 62025-3604
Phone: (618) 692-6880
Fax: (314) 667-3108
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 180004715 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180004715 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2007012895 Missouri
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 2007012895 Missouri

Profile Details

NPI number 1245431022
LBN Legal business name Crum, John Palmer
Credentials LCPC, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2007
Last updated Sep 10th, 2013 - about 12 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 1245431022 NPPES
Illinois Other 262844611 STATE
Illinois Other 262844611 STATE

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