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NPI Code Detail

MEDICARE: DR. GARY ALLEN CRUM D.C.

MEDICARE:  DR. GARY ALLEN CRUM  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor1626OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811987852
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GARY ALLEN CRUM D.C.
Provider Business Mailing Address
First Line : 3312 MAHONING AVE
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44509-2616
Country : US
Telephone Number : 330-793-1141
Fax Number : 440-943-5178
Provider Business Practice Location Address
First Line : 32313 VINE ST
Second Line :
City : WILLOWICK
State : OH
Zip : 44095-3341
Country : US
Telephone Number : 440-943-4357
Fax Number : 440-943-5178
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2005
Last Update Date : 07/08/2007

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Directions to “ DR. GARY ALLEN CRUM D.C.” Practice Location

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