Crowell, Bradford Allan
Crowell, Bradford Allan is an individual health care provider with primary practice located at 901 Marshall St Ste 418-A , Redwood City CA 94063-2026. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Crowell, Bradford Allan can be contacted via phone (415) 636-0558.Contact Information
Primary practice address
901 Marshall St Ste 418-A
Redwood City CA 94063-2026
Phone: (415) 636-0558
Fax: (415) 299-2655
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | A47702 | California |
Profile Details
NPI number | 1457439077 |
---|---|
LBN Legal business name | Crowell, Bradford Allan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 1st, 2006 |
Last updated | Dec 13th, 2021 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1457439077 | NPPES |
California | MEDICAID | 00A477020 |
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