Crummer, Garry

Crummer, Garry is an individual health care provider with primary practice located at 1510 Capitola Rd , Santa Cruz CA 95062-2912. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Crummer, Garry can be contacted via phone (831) 427-3500.

Contact Information

Primary practice address
1510 Capitola Rd Santa Cruz CA 95062-2912
Phone: (831) 427-3500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A60687 California

Profile Details

NPI number 1699878579
LBN Legal business name Crummer, Garry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Mar 13th, 2024 - about 2 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 1699878579 NPPES
California Other 00A606870 MEDI-CAL ID NUMBER

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