Crabtree, Bruce Leroy
Crabtree, Bruce Leroy is an sole proprietor health care provider with primary practice located at 7301 Rogers Ave , Fort Smith AR 72903-4651. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Crabtree, Bruce Leroy can be contacted via phone (479) 314-6242.Contact Information
Primary practice address
7301 Rogers Ave
Fort Smith AR 72903-4651
Phone: (479) 314-6242
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | C-7259 | Arkansas |
Profile Details
| NPI number | 1083635577 |
|---|---|
| LBN Legal business name | Crabtree, Bruce Leroy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Nov 9th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083635577 | NPPES |
| Arkansas | MEDICAID | 114943001 |
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