Crawford, Jack Harold

Crawford, Jack Harold is an individual health care provider with primary practice located at 619 19Th St S , Birmingham AL 35249-1900. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Crawford, Jack Harold can be contacted via phone (205) 934-6007.

Contact Information

Primary practice address
619 19Th St S Birmingham AL 35249-1900
Phone: (205) 934-6007
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 28267 Alabama

Profile Details

NPI number 1295938389
LBN Legal business name Crawford, Jack Harold
Credentials M.D., PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2007
Last updated Jul 27th, 2011 - about 14 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 1295938389 NPPES
Alabama Other 051116160 BCBS
Alabama MEDICAID 128252 BCBS
Alabama MEDICAID 128256 BCBS
Alabama Other 051116157 BCBS
Alabama MEDICAID 128250 BCBS
Alabama MEDICAID 03624075 BCBS
Alabama Other 051116159 BCBS
Alabama Other 051116162 BCBS
Alabama MEDICAID 128258 BCBS

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