Crawford, Dorian Germain

Crawford, Dorian Germain is an sole proprietor health care provider with primary practice located at 15301 Warren Shingle Rd , Beale Afb CA 95903-1905. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Crawford, Dorian Germain can be contacted via phone (503) 634-4988.

Contact Information

Primary practice address
15301 Warren Shingle Rd Beale Afb CA 95903-1905
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 34970 Nebraska

Profile Details

NPI number 1578137634
LBN Legal business name Crawford, Dorian Germain
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 13th, 2021
Last updated Oct 11th, 2023 - about last year

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 1578137634 NPPES
Other 1065425447 TRICARE EAST

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