Crow, Elliott L

Crow, Elliott L is an individual health care provider with primary practice located at 1100 Central Ave Se Pmg Peds Intensivists, Albuquerque NM 87106-4930. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Crow, Elliott L can be contacted via phone (505) 841-1163.

Contact Information

Primary practice address
1100 Central Ave Se Pmg Peds Intensivists Albuquerque NM 87106-4930
Fax: (505) 222-2696
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD2005-0304 New Mexico

Profile Details

NPI number 1659465029
LBN Legal business name Crow, Elliott L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Dec 4th, 2023 - about 2 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 1659465029 NPPES
New Mexico MEDICAID 99653354

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