De Graw, Martin Crawford

De Graw, Martin Crawford is an individual health care provider with primary practice located at 1040 Medical Park Ave , New Bern NC 28562-5248. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. De Graw, Martin Crawford can be contacted via phone (252) 633-1678.

Contact Information

Primary practice address
1040 Medical Park Ave New Bern NC 28562-5248
Fax: (252) 633-1403
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 28166 North Carolina

Profile Details

NPI number 1851345920
LBN Legal business name De Graw, Martin Crawford
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2006
Last updated Jul 26th, 2011 - about 14 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 1851345920 NPPES
North Carolina Other 27986 BCBS OF NC
North Carolina MEDICAID 8927986 BCBS OF NC

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