Crabtree, Jill S

Crabtree, Jill S is an individual health care provider with primary practice located at 85 N Grand Ave , Fort Thomas KY 41075-1793. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Crabtree, Jill S can be contacted via phone (859) 572-3618.

Contact Information

Primary practice address
85 N Grand Ave Fort Thomas KY 41075-1793
Phone: (859) 572-3618
Fax: (859) 572-2326
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10003191A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA570 Kentucky

Profile Details

NPI number 1912918657
LBN Legal business name Crabtree, Jill S
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated May 27th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912918657 NPPES
Indiana MEDICAID 300048421
Indiana Other P00813820
Indiana MEDICAID 0221879
Indiana MEDICAID 95000501

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