Individual
MR. STEPHEN ROBERT CRUMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
618 PLEASANTVILLE RD STE 202, LANCASTER, OH 43130-3346
(740) 681-9020
(740) 681-9112
Mailing address
401 N EWING ST, LANCASTER, OH 43130-3372
(740) 681-9020
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
08796
OH
363LA2200X
Adult Health Nurse Practitioner
COA08796 NP
OH
363LP0200X
Pediatric Nurse Practitioner
APRN.CNP.08796
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3028708
—
OH
Enumeration date
12/27/2006
Last updated
08/15/2022
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