Dr. Jeffrey A. Crowhurst
Podiatrist
1703 Polaris Cir
Ottawa
, Illinois 61350-1683
Dr. Jeffrey A. Crowhurst
Podiatrist
1703 Polaris Cir
Ottawa
, Illinois 61350-1683
(815) 434-0933
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- Dr. Jeffrey A. Crowhurst
- 1703 Polaris Cir
- Ottawa, IL
- Zip : 61350-1683
- Fax : (815) 434-0933
- Phone : (815) 434-1900
Second Address
- Dr. Jeffrey A. Crowhurst
- 1703 Polaris Cir
- Ottawa, IL
- Zip : 61350-1683
- Fax : (815) 434-0933
- Phone : (815) 434-1900
Reviews
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Is Dr. Jeffrey A. Crowhurst a sole practitioner?
Is Dr. Jeffrey A. Crowhurst accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 016003179 | IL |
| Y | 222Z00000X | Podiatrist | 016003179 | IL |
National Provider Identifier
| NPI | 1043216625 |
|---|---|
| Provider Name | Dr. Jeffrey A. Crowhurst |
| First Address | Ottawa, IL 61350-1683 |
| Second Address | Ottawa, IL 61350-1683 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/06/2005 |
| Last Update Date | 15/02/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 016003179 | (05) | IL |
| 480025582 | RAILROAD MEDICARE (01) | |
| 60101269 | BLUE CROSS (01) | IL |
| T37524 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.