Crenwelge, Katherine Eva

Crenwelge, Katherine Eva is an individual health care provider with primary practice located at 2000 N 19Th St , Springfield OR 97477-2526. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Crenwelge, Katherine Eva can be contacted via phone (541) 746-5437.

Contact Information

Primary practice address
2000 N 19Th St Springfield OR 97477-2526
Fax: (541) 746-3753
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD27587 Oregon

Profile Details

NPI number 1447477823
LBN Legal business name Crenwelge, Katherine Eva
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Jun 20th, 2008 - about 16 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 1447477823 NPPES
Oregon MEDICAID 006388

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