Crawford, Brenda M

Crawford, Brenda M is an individual health care provider with primary practice located at 170 North 1100 East , American Fork UT 84003. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as her primary health care specialty. Crawford, Brenda M can be contacted via phone (801) 714-6570.

Contact Information

Primary practice address
170 North 1100 East American Fork UT 84003
Phone: (801) 714-6570
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 6132263 Utah

Profile Details

NPI number 1528095395
LBN Legal business name Crawford, Brenda M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated May 5th, 2008 - about 16 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 1528095395 NPPES
California MEDICAID 00A767610
California MEDICAID D7012
California Other 107046937101
California Other 870636000BCR
California Other 61322631200001
California Other 987965

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