Crawford, Joan S

Crawford, Joan S is an individual health care provider with primary practice located at 24211 Little Mack Ave , St Clair Shores MI 48080-1190. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Crawford, Joan S can be contacted via phone (586) 498-0440.

Contact Information

Primary practice address
24211 Little Mack Ave St Clair Shores MI 48080-1190
Phone: (586) 498-0440
Fax: (586) 498-0401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 5101009524 Michigan

Profile Details

NPI number 1124077953
LBN Legal business name Crawford, Joan S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Dec 1st, 2020 - about 4 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 1124077953 NPPES
Michigan MEDICAID 3380360
Michigan Other 11

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