Crawford, Theresa

Crawford, Theresa is an individual health care provider with primary practice located at 500 Fairground Rd , West Winfield NY 13491-2006. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Crawford, Theresa can be contacted via phone (315) 822-2843.

Contact Information

Primary practice address
500 Fairground Rd West Winfield NY 13491-2006
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X 437534-1 New York

Profile Details

NPI number 1225313224
LBN Legal business name Crawford, Theresa
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2011
Last updated Oct 21st, 2011 - about 13 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 1225313224 NPPES
New York MEDICAID 1992832448

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