Mccrum, James M

Mccrum, James M is an individual health care provider with primary practice located at 1083 Cedar Ave , Marysville WA 98270-4232. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mccrum, James M can be contacted via phone (360) 659-1446.

Contact Information

Primary practice address
1083 Cedar Ave Marysville WA 98270-4232
Fax: (360) 659-7324
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OD00001007 Washington

Profile Details

NPI number 1588632509
LBN Legal business name Mccrum, James M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Apr 15th, 2008 - about 17 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 1588632509 NPPES
Washington MEDICAID 2562205

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