Crow, Ian J

Crow, Ian J is an individual health care provider with primary practice located at 3521A Cannon Dr , Twentynine Palms CA 92277-9470. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Independent Duty Corpsman, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Crow, Ian J can be contacted via phone (530) 339-2347.

Contact Information

Primary practice address
3521A Cannon Dr Twentynine Palms CA 92277-9470
Phone: (530) 339-2347
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X California

Profile Details

NPI number 1649227307
LBN Legal business name Crow, Ian J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2006
Last updated Dec 16th, 2014 - about 10 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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