Crowe, Stephen Nathaniel

Crowe, Stephen Nathaniel is an individual health care provider with primary practice located at 721 Boardman Poland Rd # 204, Boardman OH 44512-5107. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Crowe, Stephen Nathaniel can be contacted via phone (330) 965-0220.

Contact Information

Primary practice address
721 Boardman Poland Rd # 204 Boardman OH 44512-5107
Fax: (330) 965-9622
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35084112 Ohio

Profile Details

NPI number 1285627141
LBN Legal business name Crowe, Stephen Nathaniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Aug 15th, 2007 - about 17 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 1285627141 NPPES
Georgia MEDICAID 2488151

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