Crandall, Margot J.

Crandall, Margot J. is an individual health care provider with primary practice located at 221 Mahalani St , Wailuku HI 96793-2526. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Crandall, Margot J. can be contacted via phone (808) 244-9056.

Contact Information

Primary practice address
221 Mahalani St Wailuku HI 96793-2526
Phone: (808) 244-9056
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25628 Arizona
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DR.52638 Colorado
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD-11935 Hawaii

Profile Details

NPI number 1033217146
LBN Legal business name Crandall, Margot J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated May 19th, 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 1033217146 NPPES
Arizona Other 25628 AZ STATE MEDICAL LICENSE
Arizona MEDICAID 471904 AZ STATE MEDICAL LICENSE
Arizona Other 023818 AZ STATE MEDICAL LICENSE
Arizona MEDICAID 53284364 AZ STATE MEDICAL LICENSE
Arizona Other 1033217146 AZ STATE MEDICAL LICENSE

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