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Contact Information

DERRICK N CRUMPLER, DIRECT SERVICE PROVI
5823 FIRE POPPY DR
ELK GROVE, CA95757-2848
 Phone: 916-247-6058
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Homemaker

376J00000X
Indicates primary specialty

NPI Profile & details for DERRICK N CRUMPLER · (Male)

NPI Number 1013235241
Status Active
Credentials DIRECT SERVICE PROVI
Entity Individual
Enumeration date 05/12/2010
Last updated 05/12/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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