Crass, Derrick
Crass, Derrick is an individual health care provider with primary practice located at 333 S Kirkwood Rd , Saint Louis MO 63122-6161. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Crass, Derrick can be contacted via phone (314) 909-1666.Contact Information
Primary practice address
333 S Kirkwood Rd
Saint Louis MO 63122-6161
Phone: (314) 909-1666
Fax: (314) 909-7406
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2014006254 | Missouri |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 2014006254 | Missouri |
Profile Details
NPI number | 1497170278 |
---|---|
LBN Legal business name | Crass, Derrick |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 3rd, 2014 |
Last updated | Mar 3rd, 2014 - 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.
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