Crawford, Thomas H

Crawford, Thomas H is an individual health care provider with primary practice located at 4811 S 76Th St Suite 401, Greenfield WI 53220-4364. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Crawford, Thomas H can be contacted via phone (414) 325-7741.

Contact Information

Primary practice address
4811 S 76Th St Suite 401 Greenfield WI 53220-4364
Phone: (414) 325-7741
Fax: (414) 325-7753
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 11357 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 5218-125 Wisconsin

Profile Details

NPI number 1871587386
LBN Legal business name Crawford, Thomas H
Credentials LPC SAC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Jun 18th, 2014 - about 10 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 1871587386 NPPES
Wisconsin Other 39794100 CENPATICO
Wisconsin Other 39794100 CENPATICO
Wisconsin Other 2036410 CENPATICO
Wisconsin Other 253921000 CENPATICO
Wisconsin MEDICAID 39794100 CENPATICO

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