Crandell, Blain A
Crandell, Blain A is an individual health care provider with primary practice located at 123 Bjune Dr Se Suite 101, Bainbridge Island WA 98110-2459. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Crandell, Blain A can be contacted via phone (206) 842-3222.Contact Information
Primary practice address
123 Bjune Dr Se Suite 101
Bainbridge Island WA 98110-2459
Phone: (206) 842-3222
Fax: (206) 842-1877
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00043807 | Washington |
Profile Details
| NPI number | 1215964614 |
|---|---|
| LBN Legal business name | Crandell, Blain A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Dec 2nd, 2013 - about 11 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 | 1215964614 | NPPES |
| Washington | Other | P00974408 | RAILROAD MEDICARE |
| Washington | Other | 0186660 | RAILROAD MEDICARE |
| Washington | Other | 0284290 | RAILROAD MEDICARE |
| Washington | MEDICAID | 8399065 | RAILROAD MEDICARE |
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