Provider Demographics
NPI:1497194179
Name:GARY CRUMMETT & SONS
Entity type:Organization
Organization Name:GARY CRUMMETT & SONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:CRUMMETT
Authorized Official - Suffix:
Authorized Official - Credentials:CLASS A CONTRACTOR
Authorized Official - Phone:540-434-1030
Mailing Address - Street 1:3437 BLOSSOM DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT CRAWFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22841-2121
Mailing Address - Country:US
Mailing Address - Phone:540-434-1030
Mailing Address - Fax:
Practice Address - Street 1:3437 BLOSSOM DR
Practice Address - Street 2:
Practice Address - City:MOUNT CRAWFORD
Practice Address - State:VA
Practice Address - Zip Code:22841-2121
Practice Address - Country:US
Practice Address - Phone:540-434-1030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-17
Last Update Date:2013-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2705141949A171WH0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty