Alan Richard Crebo
Ophthalmologist
1601 W Lincoln Rd
Kokomo
, Indiana 46902-3275
Alan Richard Crebo
Ophthalmologist
1601 W Lincoln Rd
Kokomo
, Indiana 46902-3275
(765) 455-4323
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Alan Richard Crebo
- Po Box 6550
- Kokomo, IN
- Zip : 46904-6550
- Fax : (765) 455-4323
- Phone : (765) 453-5696
Second Address
- Alan Richard Crebo
- 1601 W Lincoln Rd
- Kokomo, IN
- Zip : 46902-3275
- Fax : (765) 455-4323
- Phone : (765) 453-5696
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | 01027403 | IN |
National Provider Identifier
| NPI | 1013914845 |
|---|---|
| Provider Name | Alan Richard Crebo |
| First Address | Kokomo, IN 46904-6550 |
| Second Address | Kokomo, IN 46902-3275 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/07/2005 |
| Last Update Date | 13/12/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100188240 | (05) | IN |
| E03742 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.