Crawford, Shannon David
Crawford, Shannon David is an individual health care provider with primary practice located at 795 Willow Rd Bldg 334 , Menlo Park CA 94025-2539. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Crawford, Shannon David can be contacted via phone (877) 780-5559.Contact Information
Primary practice address
795 Willow Rd Bldg 334
Menlo Park CA 94025-2539
Phone: (877) 780-5559
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD169923 | Oregon |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | A78343 | California |
Profile Details
| NPI number | 1619996766 |
|---|---|
| LBN Legal business name | Crawford, Shannon David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Dec 9th, 2023 - about 2 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 | 1619996766 | NPPES |
| Oregon | MEDICAID | 500615514 |
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