Crabtree, Traves Dean
Crabtree, Traves Dean is an individual health care provider with primary practice located at 315 W Carpenter St 2Nd Floor Clinic C, Springfield IL 62702-4901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Crabtree, Traves Dean can be contacted via phone (217) 545-8000.Contact Information
Primary practice address
315 W Carpenter St 2Nd Floor Clinic C
Springfield IL 62702-4901
Phone: (217) 545-8000
Fax: (217) 545-7053
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 036112228 | Illinois |
Profile Details
NPI number | 1790703429 |
---|---|
LBN Legal business name | Crabtree, Traves Dean |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 18th, 2006 |
Last updated | Oct 21st, 2020 - about 5 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 | 1790703429 | NPPES |
Missouri | MEDICAID | 919620412 |
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