Crowley, Jim D

Crowley, Jim D is an individual health care provider with primary practice located at 1055 N 500 W Suite 211, Provo UT 84604-3305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Crowley, Jim D can be contacted via phone (801) 357-7327.

Contact Information

Primary practice address
1055 N 500 W Suite 211 Provo UT 84604-3305
Phone: (801) 357-7327
Fax: (801) 375-8860
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 10095 Nevada
Allopathic & Osteopathic Physicians / Urology 208800000X 7420231-1205 Utah

Profile Details

NPI number 1083697957
LBN Legal business name Crowley, Jim D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Oct 22nd, 2018 - about 6 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 1083697957 NPPES
Nevada MEDICAID 002018585

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