Crawford, Rosalyn A
Crawford, Rosalyn A is an individual health care provider with primary practice located at 14540 Old Saint Augustine Rd Ste 2317 Credentialing Department, Jacksonville FL 32258-7418. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Crawford, Rosalyn A can be contacted via phone (904) 880-9696.Contact Information
Primary practice address
14540 Old Saint Augustine Rd Ste 2317 Credentialing Department
Jacksonville FL 32258-7418
Phone: (904) 880-9696
Fax: (904) 390-7452
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | ME101545 | Florida |
Profile Details
| NPI number | 1790837383 |
|---|---|
| LBN Legal business name | Crawford, Rosalyn A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Feb 10th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790837383 | NPPES |
| Florida | MEDICAID | 2813599-00 | |
| Florida | Other | P01034872 | |
| Florida | MEDICAID | 831808453A |
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