Crecelius, William D

Crecelius, William D is an individual health care provider with primary practice located at 72780 Country Club Dr Ste 203 , Rancho Mirage CA 92270-4150. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Crecelius, William D can be contacted via phone (760) 834-3593.

Contact Information

Primary practice address
72780 Country Club Dr Ste 203 Rancho Mirage CA 92270-4150
Phone: (760) 834-3593
Fax: (760) 674-3845
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 28795 Kentucky
Allopathic & Osteopathic Physicians / General Practice 208D00000X 28795 Kentucky
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G138326 California

Profile Details

NPI number 1003828633
LBN Legal business name Crecelius, William D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Apr 28th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003828633 NPPES
Kentucky MEDICAID 64287956
Kentucky Other 000000048676
Kentucky Other 2433207000
Kentucky Other 10523140
Kentucky MEDICAID 200009610

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