Crawford, Terry Wayne
Crawford, Terry Wayne is an individual health care provider with primary practice located at 2801 International Ln Ste 205 , Madison WI 53704-3152. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Crawford, Terry Wayne can be contacted via phone (608) 241-4285.Contact Information
Primary practice address
2801 International Ln Ste 205
Madison WI 53704-3152
Phone: (608) 241-4285
Fax: (608) 241-4286
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | 12418 | Wisconsin |
Profile Details
| NPI number | 1689341018 |
|---|---|
| LBN Legal business name | Crawford, Terry Wayne |
| Credentials | CPS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2021 |
| Last updated | Feb 24th, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689341018 | NPPES |
| Wisconsin | MEDICAID | 1700129376 |
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