Crutcher, Michael Eugene

Crutcher, Michael Eugene is an individual health care provider with primary practice located at 504 E Monroe St , Rapid City SD 57701-1400. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Crutcher, Michael Eugene can be contacted via phone (605) 394-6665.

Contact Information

Primary practice address
504 E Monroe St Rapid City SD 57701-1400
Phone: (605) 394-6665
Fax: (605) 355-3508
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D0508 South Dakota

Profile Details

NPI number 1154350593
LBN Legal business name Crutcher, Michael Eugene
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Jul 8th, 2007 - about 19 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 1154350593 NPPES
South Dakota MEDICAID 5350060

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