Crandall, Brian G

Crandall, Brian G is an individual health care provider with primary practice located at 1300 N 500 E Ste 320, Logan UT 84341-2408. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Crandall, Brian G can be contacted via phone (801) 507-3513.

Contact Information

Primary practice address
1300 N 500 E Ste 320 Logan UT 84341-2408
Phone: (801) 507-3513
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 175425-1205 Utah
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 175425-1205 Utah

Profile Details

NPI number 1669440269
LBN Legal business name Crandall, Brian G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jan 22nd, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669440269 NPPES
Nevada MEDICAID 002087306
Nevada MEDICAID 003633800
Nevada MEDICAID 108869600
Nevada Other 060016799
Nevada MEDICAID 08641

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