Crenshaw, Robert Evan

Crenshaw, Robert Evan is an individual health care provider with primary practice located at 401 Bicentennial Way Ste 120 , Santa Rosa CA 95403-2149. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Crenshaw, Robert Evan can be contacted via phone (707) 393-5580.

Contact Information

Primary practice address
401 Bicentennial Way Ste 120 Santa Rosa CA 95403-2149
Phone: (707) 393-5580
Fax: (707) 393-4559
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA16184 California

Profile Details

NPI number 1770672925
LBN Legal business name Crenshaw, Robert Evan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Dec 30th, 2021 - about 5 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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