Crapo, Shad Fredrick

Crapo, Shad Fredrick is an sole proprietor health care provider with primary practice located at 195 Feather Way , Evanston WY 82930-9352. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Crapo, Shad Fredrick can be contacted via phone (307) 200-9200.

Contact Information

Primary practice address
195 Feather Way Evanston WY 82930-9352
Phone: (307) 200-9200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1912476649
LBN Legal business name Crapo, Shad Fredrick
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 26th, 2018
Last updated Nov 26th, 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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