Crowley, Robert James

Crowley, Robert James is an individual health care provider with primary practice located at 2450 S Oneida St , Green Bay WI 54304-5243. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Crowley, Robert James can be contacted via phone (920) 499-6244.

Contact Information

Primary practice address
2450 S Oneida St Green Bay WI 54304-5243
Fax: (920) 499-4482
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4407 Wisconsin

Profile Details

NPI number 1427093640
LBN Legal business name Crowley, Robert James
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Mar 20th, 2013 - about 11 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 1427093640 NPPES
Wisconsin MEDICAID 33739400

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