Crandell, James R
Crandell, James R is an sole proprietor health care provider with primary practice located at 25200 Center Ridge Rd Ste 1100 , Westlake OH 44145-4146. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Crandell, James R can be contacted via phone (440) 331-4853.Contact Information
Primary practice address
25200 Center Ridge Rd Ste 1100
Westlake OH 44145-4146
Phone: (440) 331-4853
Fax: (440) 333-7044
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 35059930C | Ohio |
Profile Details
| NPI number | 1396711610 |
|---|---|
| LBN Legal business name | Crandell, James R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2006 |
| Last updated | May 15th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396711610 | NPPES |
| Other | 9273172 | GROUP MEDICARE | |
| Other | D368301 | GROUP MEDICARE | |
| Other | 109934 | GROUP MEDICARE | |
| Other | 0119204 | GROUP MEDICARE | |
| Other | 2448496 | GROUP MEDICARE | |
| Other | CA4511 | GROUP MEDICARE | |
| Other | 10790137 | GROUP MEDICARE | |
| Other | 110213802 | GROUP MEDICARE | |
| Other | 3610861 | GROUP MEDICARE | |
| Other | L59930 | GROUP MEDICARE | |
| Other | 341783789055 | GROUP MEDICARE | |
| Other | 000000188027 | GROUP MEDICARE | |
| Other | 1780634279 | GROUP MEDICARE | |
| Other | CA4511 | GROUP MEDICARE | |
| MEDICAID | 0805436 | GROUP MEDICARE | |
| Other | 2502257 | GROUP MEDICARE |
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