Crandall, Robert

Crandall, Robert is an individual health care provider with primary practice located at 74720 G Rd , Overton NE 68863-5811. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Emergency Medicine. Other Service Providers / Specialist is his primary health care specialty. Crandall, Robert can be contacted via phone (308) 987-2207.

Contact Information

Primary practice address
74720 G Rd Overton NE 68863-5811
Phone: (308) 987-2207
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 255 Nebraska
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 255 Nebraska

Profile Details

NPI number 1750383105
LBN Legal business name Crandall, Robert
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Jul 17th, 2018 - about 7 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 1750383105 NPPES
Nebraska Other 06657 BLUE CROSS BLUE SHIELD NE
Nebraska MEDICAID 1750383105 BLUE CROSS BLUE SHIELD NE

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