Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 35-041951 | OH |
NPI | 1295751014 |
---|---|
Provider Name | Joseph A. Crawford |
First Address | Euclid, OH 44117-1714 |
Second Address | Cleveland, OH 44106-1716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 26/05/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000206506 | UNISON (01) | OH |
000000503570 | ANTHEM (01) | OH |
0304914 | BCMH (01) | OH |
0649347 | (05) | OH |
1010451350002 | (05) | PA |
363449 | WELLCARE (01) | OH |
4306749 | AETNA (01) | OH |
731875 | BUCKEYE (01) | OH |
B95425 | (02) | |
P00358783 | RAILROAD MEDICARE (01) | OH |