Crawford, Debora

Crawford, Debora is an sole proprietor health care provider with primary practice located at 3033 Mcdonald Ave , Kingman AZ 86401-4235. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Crawford, Debora can be contacted via phone (928) 718-6308.

Contact Information

Primary practice address
3033 Mcdonald Ave Kingman AZ 86401-4235
Fax: (928) 753-2208
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X Arizona

Profile Details

NPI number 1891918777
LBN Legal business name Crawford, Debora
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2007
Last updated Jul 26th, 2007 - about 19 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 1891918777 NPPES
Arizona Other 566937 AHCCCS ID #

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