George, Tobias John Crandall
George, Tobias John Crandall is an individual health care provider with primary practice located at 777 Bannock St , Denver CO 80204-4507. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. George, Tobias John Crandall can be contacted via phone (303) 602-1460.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 990306 | Colorado |
Profile Details
| NPI number | 1871865972 |
|---|---|
| LBN Legal business name | George, Tobias John Crandall |
| Credentials | ACNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 2012 |
| Last updated | Apr 11th, 2019 - about 5 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 | 1871865972 | NPPES |
| Colorado | MEDICAID | 60288566 |
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