Crowell, Bill Bruce

Crowell, Bill Bruce is an individual health care provider with primary practice located at 2220 W Iowa Ave , Chickasha OK 73018-2738. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Crowell, Bill Bruce can be contacted via phone (405) 224-2300.

Contact Information

Primary practice address
2220 W Iowa Ave Chickasha OK 73018-2738
Phone: (405) 224-2300
Fax: (405) 779-2413
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 8304 Oklahoma

Profile Details

NPI number 1629086384
LBN Legal business name Crowell, Bill Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated May 13th, 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 1629086384 NPPES
Oklahoma MEDICAID 100116110A

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