Crenshaw, William B.

Crenshaw, William B. is an individual health care provider with primary practice located at 19020 33Rd Ave W Ste 210 , Lynnwood WA 98036. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Crenshaw, William B. can be contacted via phone (425) 563-1500.

Contact Information

Primary practice address
19020 33Rd Ave W Ste 210 Lynnwood WA 98036
Phone: (425) 563-1500
Fax: (425) 563-1501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD00035114 Washington
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD00035114 Washington
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD00035114 Washington

Profile Details

NPI number 1912971623
LBN Legal business name Crenshaw, William B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated May 18th, 2018 - about 6 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 1912971623 NPPES
Washington MEDICAID 8244550
Washington Other 300099391
Washington Other 130433
Washington Other 349221
Washington Other CR2598
Washington MEDICAID 1022150
Washington Other 349219
Washington Other 2229741
Washington Other 8923831

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