Crandell, Samuel

Crandell, Samuel is an individual health care provider with primary practice located at 2241 W 16Th St , Safford AZ 85546-4085. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Crandell, Samuel can be contacted via phone (520) 829-6900.

Contact Information

Primary practice address
2241 W 16Th St Safford AZ 85546-4085
Phone: (520) 829-6900
Fax: (520) 795-9953
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5000 Arizona

Profile Details

NPI number 1497024335
LBN Legal business name Crandell, Samuel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2011
Last updated Mar 21st, 2022 - about 2 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 1497024335 NPPES
Arizona MEDICAID 312708

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