Luke Crane
Individual provider Active NPI Day Training/Habilitation Specialist · Maxwelton, WV
NPI 1669099313 · NPPES record last updated Jun 29, 2020
Key facts
- NPI
- 1669099313
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Day Training/Habilitation Specialist 373H00000X
- Practice address
- 804 Industrial Park Rd
Maxwelton, WV 24957-8066 - Phone
- (304) 497-0500
- NPI assigned
- Jun 29, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Day Training/Habilitation Specialist | 373H00000X | Yes |
Addresses
Primary practice location
804 Industrial Park Rd
Maxwelton, WV 24957-8066
Mailing address
804 Industrial Park Rd
Maxwelton, WV 24957-8066
Phone (304) 497-0500
Other providers in Maxwelton, WV
- Gregory Lee Byers
- Susan Byers
- Allison Haynes Chrisman
- Tammy Lynn Coats
- Melanie Cosner
- Morgan A Croft-Schornak
- Ella Rhonda Damron
- Christina Lynn Defibaugh
- Alicia Dennison
- Elizabeth Katherine Dils
All providers in Maxwelton, WV · Day Training/Habilitation Specialist in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.